Seng S, Kieran S M, Vargas S O, McGill T J
Imperial College School of Medicine, Charing Cross Hospital, UK.
J Laryngol Otol. 2013 May;127(5):528-30. doi: 10.1017/S0022215113000182. Epub 2013 Feb 14.
Hairy polyps are rare congenital growths of the head and neck, mainly found in the nasopharynx and oropharynx. They are made up of two germ cell layers: the ectoderm and mesoderm.
This paper reports a four-month-old who presented with breathing and feeding difficulties. Clinical examination was unremarkable, but a video taken by the patient's mother on her smartphone showed a mass protruding from the infant's mouth. Laryngoscopy performed in the operating theatre showed that the mass emanated from the left posterior tonsillar pillar.
The mass was removed transorally with no complications. Pathological examination showed a skin-covered pedunculated structure characteristic of a hairy polyp. The patient's follow up was unremarkable.
To the best of our knowledge, this is the second English-language case report of a patient with a hairy polyp emanating from a posterior tonsillar pillar. This paper also highlights the growing usage of smartphones by patients to help physicians with their diagnosis and management.
毛发状息肉是头颈部罕见的先天性肿物，主要见于鼻咽部和口咽部。它们由外胚层和中胚层两个胚层组成。
本文报道一名4个月大的患儿，出现呼吸和喂养困难。临床检查无异常，但患儿母亲用智能手机拍摄的一段视频显示，有一个肿物从婴儿口中突出。在手术室进行的喉镜检查显示，肿物起源于左侧扁桃体后柱。
经口切除肿物，无并发症。病理检查显示为有蒂结构，表面覆盖皮肤，具有毛发状息肉的特征。患者随访情况良好。
据我们所知，这是第二例英文报道的起源于扁桃体后柱的毛发状息肉患者。本文还强调了患者越来越多地使用智能手机来帮助医生进行诊断和治疗。
