Neonatal nodular fasciitis of the larynx.
We 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.
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
Maja
M
Svrakic
John P
JP
Bent
Esther
E
Adler
D005208:Fasciitis / Q000151:congenital* / Q000175:diagnosis* / Q000601:surgery; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007232:Infant, Newborn, Diseases / Q000175:diagnosis* / Q000209:etiology; D007818:Laryngeal Diseases / Q000151:congenital* / Q000175:diagnosis* / Q000601:surgery; D007828:Laryngoscopy; D007830:Larynx / Q000473:pathology / Q000601:surgery; D012135:Respiratory Sounds / Q000175:diagnosis / Q000209:etiology