Acta Scientific Otolaryngology (ASOL) (ISSN: 2582-5550)

Clinical Image Volume 5 Issue 2

Congenital Oropharyngeal Hairy Polyp: An Unusual Cause of Neonatal Stridor

Aswin Chandran, Raeza Fatima, Subagar Anbarasan and Shuchita Singh Pachaury*

Department of Otorhinolaryngology, All India Institute of Medical Sciences, New Delhi, India

*Corresponding Author: Shuchita Singh Pachaury, Department of Otorhinolaryngology, All India Institute of Medical Sciences, New Delhi, India.

Received: November 15, 2022; Published: January 18, 2023

Abstract

Case Report

A 1-day-old female infant, 3.1 kg, born vaginally at full term and cried immediately at birth was referred to our emergency for inspiratory stridor, cyanosis, and feeding difficulties. Mother had uneventful ante-natal history and pre-natal scans revealed no congenital anomaly of foetus. The child underwent orotracheal intubation and required mechanical ventilation because of worsening of cardio-respiratory status. Otorhinolaryngologic examination revealed a firm, whitish, pedunculated, skin-covered mass filling the oropharynx (Figure 1A). Nasal endoscopy showed the presence of a mass occupying bilateral posterior choanae. Systemic examination was unremarkable with no signs of any congenital anomaly. Contrast-enhanced CT showed a 4 x 2 cm hypoechoic mass with fatty attenuation occupying the naso-oropharynx extending superiorly from clivus, anteriorly up to choana, and inferiorly till C3/C4 vertebral level with no intracranial or intraspinal extension (Figure 1B and 1C). The child underwent endoscopic-guided transoral excision of mass using Coblator device and the pedicle arising from left posterior tonsillar pillar was dissected and base was cauterized (Figure 2A). Histopathology examination revealed ectodermal and mesodermal elements in a polypoidal structure lined by stratified squamous epithelium with pilosebaceous units with underlying tissue, adipose tissue, skeletal muscle, cartilage, and seromucinous minor salivary glands consistent with hairy polyp (Figure 2B and 2C). Child was extubated the next day and had an uneventful post-operative recovery. At 1-year follow up child is disease-free having normal growth and developmental milestones and feeding orally well.

References

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Citation

Citation: Shuchita Singh Pachaury., et al. “Congenital Oropharyngeal Hairy Polyp: An Unusual Cause of Neonatal Stridor".Acta Scientific Otolaryngology 5.2 (2023): 31-33.

Copyright

Copyright: © 2022 Shuchita Singh Pachaury., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




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