Anesthetic and Surgical Considerations in Giant Vallecular Cyst with Coexistent Laryngomalacia of Neonate

Vallecular cyst in neonate is rare and can cause of respiratory obstruction and death. It may sometimes co-exist with laryngomalacia and may be cause of severe respiratory obstruction and feeding difficulty in the neonate. We report a case of 1 month old female child with giant vallecular cyst and its co-presentation with laryngomalacia. Marsupialization of the vallecular cyst was done with Laryngeal skimmer blade. Respiratory and feeding difficulty improved after surgical Intervention. The case is being presented to highlight the anesthetic and surgical problems encountered in managing such lesion in neonate.