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Respiratory Distress From Congenital Lingual Cysts

Respiratory Distress From Congenital Lingual Cysts Abstract Respiratory obstruction in infants is not rare. Usually, this is caused by a laryngeal or tracheal disorder. A cyst of the base of the tongue may also cause respiratory obstruction by pressing the epiglottis down over the larynx. This condition is not common but should be recognized as simple treatment may be lifesaving. A review of the literature by Shapiro 1 in 1949 revealed only 12 cases of true cysts of the base of the tongue, and it is significant that eight of these were diagnosed at autopsy. All 12 were in infants. Howell,2 in 1953, found one additional case in a 15-week-old child whom he treated and cured. Wilson,3 discussing thyroglossal duct cysts in children, found only four were intraglossal, as he classified them, out of 105 cases. Much has been postulated, but little is known as to why these cysts form. Potential causes are the thyroglossal References 1. Shapiro, M. J.: Cysts on the Base of the Tongue in Infants , Ann Otol 58:457-69, 1949. 2. Howell, J. A., and Prince, T. C.: Congenital Cyst of the Base of the Tongue: Report of a Case , Ann Otol 62:896-899, 1953. 3. Wilson, T. G.: Diseases of the Ear, Nose and Throat in Children , New York: Grune and Stratton Inc., 1955, pp 264-267. 4. Wenglowski, R.: Ueber die Halsfistulen und Cysten , Arch Klin Chir 98:151-208, 1912. 5. Bauch, S.: The Histogenetic Phase of Determination of the Thyroid on the Basis of the Chemistry of Thyroglossal Cysts , Pract Otorhinolaryng (Basel) 17:263-270, 1955. 6. Hickman, W.: Congenital Tumour of the Base of the Tongue Passing Down the Epiglottis on the Larynx and Causing Death by Suffocation Sixteen Hours After Birth , Trans Path Soc London 20: 160-163, 1868-1869. 7. Nachman, H. M.; Crawford, V.; and Bigger, I. A.: Radioactive Iodine (I131) in the Diagnosis of Lingual Thyroid , JAMA 140:1154-56, 1949.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Diseases of Children American Medical Association

Respiratory Distress From Congenital Lingual Cysts

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References (7)

Publisher
American Medical Association
Copyright
Copyright © 1963 American Medical Association. All Rights Reserved.
ISSN
0002-922X
DOI
10.1001/archpedi.1963.02080050612012
Publisher site
See Article on Publisher Site

Abstract

Abstract Respiratory obstruction in infants is not rare. Usually, this is caused by a laryngeal or tracheal disorder. A cyst of the base of the tongue may also cause respiratory obstruction by pressing the epiglottis down over the larynx. This condition is not common but should be recognized as simple treatment may be lifesaving. A review of the literature by Shapiro 1 in 1949 revealed only 12 cases of true cysts of the base of the tongue, and it is significant that eight of these were diagnosed at autopsy. All 12 were in infants. Howell,2 in 1953, found one additional case in a 15-week-old child whom he treated and cured. Wilson,3 discussing thyroglossal duct cysts in children, found only four were intraglossal, as he classified them, out of 105 cases. Much has been postulated, but little is known as to why these cysts form. Potential causes are the thyroglossal References 1. Shapiro, M. J.: Cysts on the Base of the Tongue in Infants , Ann Otol 58:457-69, 1949. 2. Howell, J. A., and Prince, T. C.: Congenital Cyst of the Base of the Tongue: Report of a Case , Ann Otol 62:896-899, 1953. 3. Wilson, T. G.: Diseases of the Ear, Nose and Throat in Children , New York: Grune and Stratton Inc., 1955, pp 264-267. 4. Wenglowski, R.: Ueber die Halsfistulen und Cysten , Arch Klin Chir 98:151-208, 1912. 5. Bauch, S.: The Histogenetic Phase of Determination of the Thyroid on the Basis of the Chemistry of Thyroglossal Cysts , Pract Otorhinolaryng (Basel) 17:263-270, 1955. 6. Hickman, W.: Congenital Tumour of the Base of the Tongue Passing Down the Epiglottis on the Larynx and Causing Death by Suffocation Sixteen Hours After Birth , Trans Path Soc London 20: 160-163, 1868-1869. 7. Nachman, H. M.; Crawford, V.; and Bigger, I. A.: Radioactive Iodine (I131) in the Diagnosis of Lingual Thyroid , JAMA 140:1154-56, 1949.Crossref

Journal

American Journal of Diseases of ChildrenAmerican Medical Association

Published: Dec 1, 1963

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