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자료유형
학술저널
저자정보
한승훈 (Hallym University Dongtan Sacred Heart Hospital Hallym University College of Medicine Hwaseong Korea) 김민주 (Seoul National University Hospital Seoul Korea) 지정연 (Seoul National University Hospital Seoul Korea) 권성근 (Seoul National University Hospital Seoul Korea)
저널정보
대한이비인후과학회 Clinical and Experimental Otorhinolaryngology Clinical and Experimental Otorhinolaryngology 제16권 제2호
발행연도
2023.5
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177 - 183 (7page)

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Objectives. Subglottic cysts (SGCs) are a rare cause of respiratory distress resulting from upper airway obstruction in in-fants and young children. Risk factors other than prematurity with a history of endotracheal intubation have not yetbeen well elucidated. Therefore, we aimed to describe the clinical features and analyze the risk factors of SGCs. Methods. We conducted a retrospective review of medical records of pediatric patients who underwent marsupializationfor SGCs between January 2017 and March 2022. These records were then compared with those of controls with ahistory of neonatal intubation, with a case-to-control ratio of 1:3. Results. Eleven patients (eight boys and three girls) diagnosed with SGCs and 33 control patients (26 boys and seven girls)were included. All patients had a history of premature birth and neonatal intubation. Symptoms of SGCs appeared ata mean age of 8.2 months (range, 1–14 months) after extubation. The mean duration of intubation was 21.5 days (range,2–90 days), and the intubation period was longer in patients with SGCs than in controls (21.5±24.8 days vs. 5.3±7.1 days; P <0.001). Furthermore, gestational age (28.3±4.2 weeks vs. 33.8±4.4 weeks; P =0.001) and birth weight(1,134.1±515.1 g vs. 2,178.2±910.1 g; P =0.001) were significantly lower in patients with SGCs than in controls. Multivariable analysis identified the intubation period as an independent risk factor. Conclusion. This study showed that gestational age, birth weight, and the intubation period were significantly associated withthe development of SGCs. Pediatric patients presenting with progressive dyspnea who have the corresponding riskfactors should undergo early laryngoscopy for the differential diagnosis of SGC.

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