Congenital vallecular cyst: A rare and potentially lethal condition

Shabbir Ahmed Mallick, Tabinda Naz Qureshi*, Ajoy Methew Varghese, Mona Mohammed Al Busaidi

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

2 Citations (Scopus)


Congenital vallecular cyst is a rare laryngeal lesion, accounting for 10-20% of all laryngeal cysts, with a potential to cause severe upper airway obstruction, which can be fatal. It can cause stridor, apnea, cyanosis, respiratory distress, and feeding difficulties. Diagnosis requires a high level of clinical suspicion and helps in timely intervention. Direct laryngoscopy is gold standard for definitive diagnosis. Treatment options include aspiration, marsupialization, and surgical excision. Here, we report a case of 7-week-old infant with complain of recurrent episodes of cyanosis when agitated, since the age of 3 weeks, admitted with impression of apparent life-threatening events (ALTEs). Extensive investigations were non-conclusive, which were done in local hospital. Direct laryngoscopy was performed in our hospital and showed presence of a vallecular cyst. Thus complete excision of cyst was done in the same setting with dramatic relief of symptoms.

Original languageEnglish
Pages (from-to)376-377
Number of pages2
JournalJournal of the College of Physicians and Surgeons Pakistan
Issue number6
Publication statusPublished - Jun 1 2017


  • Congenital valleclar cyst
  • Cyanosis
  • Respiratory distress

ASJC Scopus subject areas

  • Medicine(all)


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