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新生儿喉喘鸣的病因:鼻咽部绒毛状瘤。

Nasopharynx Hairy Polyp as a Cause of Stridor in Newborn.

机构信息

Department of Adult and Development Age Human Pathology "Gaetano Barresi," Unit of Otorhinolaryngology, University of Messina, Messina, Italy.

出版信息

J Craniofac Surg. 2020 Sep;31(6):e572-e574. doi: 10.1097/SCS.0000000000006576.

Abstract

Hairy polyps are histological benign lesions derived from 2 germinal layers which arise during fetal period, they can occur anywhere in the body. When they are localized in the oropharynx or nasopharynx can lead to upper airway obstruction in infants.We describe a case of a 2-days-old full-term female with intermittent upper airway obstruction, stridor, and feeding difficulty. Endoscopic and radiologic exams show a mass localized in nasopharynx, which was excised with a transnasal endoscopic approach resolving her respiratory difficulties.Histology confirmed the diagnosis of hairy polyp, a mass composed by an external layer of mature skin and a core with subcutaneous mature fibro fatty tissue, mature skeletal muscle, and cartilage.This report has an important value for the readers because, for a good functional result and an excellent prognosis, an accurate clinic and radiologic diagnose, with subsequent surgical complete resection should be performed.

摘要

多毛息肉是源自胚胎期的 2 个胚层的组织学良性病变,可发生在身体的任何部位。当它们位于口咽或鼻咽时,可导致婴儿上呼吸道阻塞。我们描述了一例 2 天龄足月女性,间歇性上呼吸道阻塞,喘鸣和喂养困难。内镜和影像学检查显示鼻咽部有一肿块,经鼻内镜切除,解决了呼吸困难。组织学证实为多毛息肉的诊断,该肿块由成熟皮肤的外层和核心组成,核心包含皮下成熟纤维脂肪组织、成熟骨骼肌和软骨。本报告对读者具有重要价值,因为为了获得良好的功能结果和良好的预后,应进行准确的临床和影像学诊断,并随后进行完全切除的手术治疗。

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