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Angiomatous ethmoidochoanal polyp in an infant: case report
Nuno Oliveira1, Nuno Trigueiros, Delfim Duarte
1Department of Otolaryngology, Hospital Pedro Hispano, Av. Serpa Pinto 485, 1° Dto. Frente, 4450-282 Matosinhos, Portugal. nunofilipeoliveira@hotmail.com
Insights
This case report details an infant with an ethmoidochoanal polyp and meningocele, likely caused by birth trauma. Surgical correction was successful, highlighting a rare pediatric nasal pathology.
Area of Science:
- Otolaryngology
- Pediatric Surgery
- Pathology
Background:
- Nasal polyps are uncommon in children under 10.
- Infantile nasal masses require thorough investigation.
Observation:
- An infant presented with an obstructive left nasal mass at 5 months old.
- History revealed traumatic birth intubation with resultant nasal bleeding.
- Imaging showed an ethmoidochoanal polyp, cribriform plate fracture, and meningocele.
Findings:
- An angiomatous polyp was surgically excised.
- The meningocele was repaired via endoscopic nasal surgery.
- Pathology suggested the polyp was trauma-related.
Implications:
- This case highlights a rare infantile presentation of an ethmoidochoanal polyp.
- It underscores the potential link between birth trauma and pediatric nasal pathologies.
- Endoscopic surgery offers a viable treatment for complex infantile nasal masses.
Abstract:
Nasal polyps are rare in children younger than 10 years. We describe the case of an infant girl who had undergone a traumatic intubation at birth that had resulted in nasal bleeding. At the age of 5 months, she was brought to us with an obstructive left nasal mass. Imaging revealed the presence of an ethmoidochoanal polyp, as well as a fracture of the posterior cribriform plate and a small associated meningocele. Four months later, the polyp was excised, and the meningocele was corrected with endoscopic nasal surgery. Pathologic evaluation identified the lesion as an angiomatous polyp, which was probably related to the previous traumatic episode. We discuss the clinical aspects of a pathologic entity that has not been previously reported in an infant.