Proposal for the surgical management of children with laryngeal saccular Cysts: A case series

Clinical effect of CO2 laser resection of the epiglottic cyst under micro-laryngoscope suspension

BACKGROUND

Epiglottic cysts are common diseases and have multiple morbidity, and traditional surgery causes intraoperative bleeding and postoperative recurrence.

OBJECTIVE

To investigate the therapeutic effect of CO₂ laser resection on epiglottic cyst when compared with traditional surgery.

METHOD

Eighty patients with epiglottic cysts were randomly enrolled into the CO₂ laser group (44 patients) and the high-frequency electrocautery group (36 patients).

RESULTS

The CO₂ laser group had a shorter operation time, less blood loss and fewer intraoperative ruptured cysts (p < .05). The duration of sore throat and the time before wound redness and swelling subsidence in the CO₂ laser group were significantly shorter than those in the high-frequency electrocautery group (p < .05). Within one year after the operation, the incidence of epiglottic scar contracture in the CO₂ laser group was significantly lower than that in the high-frequency electrocautery group (p < .05).

CONCLUSION

The CO₂ laser group has the advantages of minimally invasive, less bleeding, short operation time and less postoperative complications, and it is worthy of applying as clinical routine to treat epiglottic cysts.