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Laryngeal papilomatosis presenting with acute upper airway obstruction

H Yashua Alkali1, C B D Amoah, Mu'uta Ibrahim

  • 1Department of Pediatrics, Aminu Kano Teaching Hospital, Kano, Nigeria. yashuaa@yahoo.com

Indian Journal of Pediatrics
|August 21, 2009
PubMed

Insights

A child experienced sudden breathing difficulty due to a papillomatous growth obstructing the airway. Surgical removal led to a full recovery, highlighting effective treatment for this rare pediatric respiratory obstruction.

Area of Science:

  • Pediatric Otolaryngology
  • Respiratory Medicine

Background:

  • Airway obstruction in children can present with diverse symptoms.
  • Papillomatous growths are a rare but serious cause of pediatric respiratory distress.

Observation:

  • A six-year-old boy presented with acute dyspnea, cough, and a foreign body sensation.
  • Clinical examination revealed severe, positional respiratory distress with diminished breath sounds.
  • Imaging showed bilateral lung hyperinflation, with a normal thoracic inlet.

Findings:

  • Direct laryngoscopy identified an extensive papillomatous growth occluding the glottis.
  • Surgical excision of the glottic mass was performed.
  • Histopathology confirmed the papillomatous nature of the growth.

Implications:

  • Early diagnosis and surgical intervention are crucial for managing glottic papillomas.
  • Complete excision can lead to excellent patient outcomes and recovery.
  • This case underscores the importance of considering rare airway pathologies in pediatric respiratory distress.

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