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Congenital Hairy Polyp Causing Severe Upper Airway Obstruction in a Newborn: A Case Report.
Khasawneh, Laith; Neri, Giampiero; Al-Mistarehi, Abdel-Hameed; Khassawneh, Adi H; Al-Omar, Khaled; Filograna Pignatelli, Giulio Romano; Tarifi, Amjed Adnan; Al Katatbeh, Mohammad A; Alzoubi, Firas.
  • Khasawneh L; Department of Surgery, Faculty of Medicine, The Hashemite University, Zarqa, Jordan.
  • Neri G; Department of Neuroscience, Imaging, and Medical Sciences, G. d'Annunzio University of Chieti-Pescara, Chieti, Italy.
  • Al-Mistarehi AH; Department of Public Health and Family Medicine, Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan.
  • Khassawneh AH; Department of Public Health and Family Medicine, Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan.
  • Al-Omar K; Department of Surgery, Faculty of Medicine, The Hashemite University, Zarqa, Jordan.
  • Filograna Pignatelli GR; Head and Neck Department of AUSL Romagna, S. Maria delle Croci Hospital, Ravenna, Italy.
  • Tarifi AA; Department of Surgery, Faculty of Medicine, The Hashemite University, Zarqa, Jordan.
  • Al Katatbeh MA; Department of Surgery, Faculty of Medicine, The Hashemite University, Zarqa, Jordan.
  • Alzoubi F; Department of Special Surgery, School of Medicine, Jordan University of Science and Technology, Irbid, Jordan.
Am J Case Rep ; 22: e930200, 2021 Mar 25.
Article in English | MEDLINE | ID: covidwho-1456529
ABSTRACT
BACKGROUND Hairy polyps are rare tumors mainly comprising fatty tissues covered by skin and hair follicles, with varied localizations and sizes. Early excision of the polyps by surgery is an effective treatment resulting in a permanent cure. We present a case of successful management of severe obstruction of the oropharynx in a newborn who presented with a large mass of congenital hairy polyp. CASE REPORT A vaginally delivered infant, weighing 3 kg, presented immediately after birth with cyanosis symptoms, failure of the first cry, and respiratory distress signs. The newborn was born to a mother with an uneventful pregnancy. Screening tests during the pregnancy reported no congenital anomalies. The newborn's hematological and biochemical test results were normal. After presenting these symptoms, the newborn was immediately intubated and put on a nasogastric feeding tube, which revealed a small portion of a polyp-like mass. A computed tomography (CT) scan further confirmed a large pedunculated mass, measuring 3×2 cm, arising from the soft palate, and obstructing the oropharynx. Histopathological examination confirmed the presence of a hairy polyp. The polyp was wholly removed transorally using the Covidien LigaSure device without the need for endoscopy. This procedure allowed safe extubation, and the baby was discharged home without symptoms 4 days after birth. CONCLUSIONS This case sheds light on the importance of considering hairy polyp in the differential diagnosis of pharyngeal mass with respiratory distress in pediatric patients. This report also describes our experience using the LigaSure surgical device without needing endoscopic visualization to successfully resect the hairy polyp without complications.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Polyps / Airway Obstruction Type of study: Case report / Diagnostic study / Prognostic study Topics: Long Covid Limits: Child / Humans / Infant / Infant, Newborn Language: English Journal: Am J Case Rep Year: 2021 Document Type: Article Affiliation country: AJCR.930200

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Polyps / Airway Obstruction Type of study: Case report / Diagnostic study / Prognostic study Topics: Long Covid Limits: Child / Humans / Infant / Infant, Newborn Language: English Journal: Am J Case Rep Year: 2021 Document Type: Article Affiliation country: AJCR.930200