A hairy situation
| Autor: | Philip Da Forno, Nader Ibrahim, Nicola Rachel Wooles, Marianne Elloy |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2015 |
| Předmět: |
medicine.medical_specialty
Stridor Oropharynx Physical examination Choristoma Article Lesion Polyps Bronchoscopy medicine otorhinolaryngologic diseases Humans General anaesthesia Physical Examination Respiratory Sounds Soft palate medicine.diagnostic_test Respiratory distress business.industry Respiration Infant Newborn General Medicine Magnetic Resonance Imaging Surgery medicine.anatomical_structure Female medicine.symptom Abnormality Palate Soft business Tomography X-Ray Computed Hair |
| Popis: | A 2-day-old neonate was transferred to a specialist paediatric otolaryngology centre with stridor at rest, feeding difficulties and an apparent mass in the oropharynx. The newborn displayed evidence of respiratory distress, however, she remained self-ventilating. MRI highlighted a fat-containing lesion in the postnasal space with no intracranial extension. A CT scan under general anaesthesia showed no underlying bony abnormality, and hence an examination of the nasopharynx, oropharynx and microlaryngoscopy and bronchoscopy were performed. The macroscopically hairy lesion arising from the superior aspect of the soft palate was resected. Histology displayed a benign growth measuring 28×17×12 mm in keeping with a hairy polyp. This is one of very few cases, to the best of our knowledge, in which a hairy polyp (bigerminal choristomas) has resulted in stridor in the first few days of life. Nasal masses in neonates, although a rare phenomenon, remain clinically important as they are obligate nasal breathers. |
| Databáze: | OpenAIRE |
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