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Int. J. Pediatr. Otorhinolaryngol. · Jul 2009
Case ReportsNeonatal nodular fasciitis of the larynx.
- Maja Svrakic, John P Bent, and Esther Adler.
- Department of Otorhinolaryngology/Head and Neck Surgery, Montefiore Medical Center of Albert Einstein College of Medicine, 3400 Bainbridge Avenue, Bronx, New York, USA. msvrakic@gmail.com
- Int. J. Pediatr. Otorhinolaryngol. 2009 Jul 1;73(7):1007-9.
AbstractWe want to describe a case of neonatal laryngeal nodular fasciitis. A 5-day-old female presented with stridor. Fiberoptic transnasal laryngoscopy identified a smooth ball-valving mass obstructing the glottis. Direct microlaryngoscopy demonstrated a lesion originating from the right laryngeal ventricle. Endoscopic therapeutic and diagnostic subtotal biopsies relieved the airway obstruction. Pathologic analysis established nodular fasciitis as the diagnosis. Follow-up endoscopy showed complete resolution of this reactive lesion, and normal laryngeal function. Nodular fasciitis, rarely described in children's head and neck region, has never been reported in the larynx of a neonate. This patient's successful outcome suggests that conservative resection may be both diagnostic and curative.
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