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Life-threatening laryngeal polyp in a child (a case report)
The Journal of Laryngology and Otology
|March 1, 1987
Summary
A rare laryngeal polyp caused severe airway obstruction in a child, necessitating an emergency tracheotomy. This case highlights a unique instance of a teleangiectatic granuloma presenting as a solitary laryngeal mass in pediatric upper airway obstruction.
Area of Science:
- Pediatric Otolaryngology
- Pediatric Airway Management
Background:
- Laryngeal polyps are uncommon in children and rarely cause significant airway compromise.
- Solitary laryngeal masses can present diagnostic challenges in pediatric patients.
Observation:
- A 3-year-old child presented with acute, life-threatening upper airway obstruction.
- The obstruction was attributed to a laryngeal polyp.
Findings:
- An emergency tracheotomy was performed without prior intubation due to the severity of the obstruction.
- Histological examination confirmed the laryngeal polyp as a teleangiectatic granuloma.
Implications:
- This case represents the first reported instance of a solitary laryngeal polyp causing life-threatening airway obstruction in a child.
- Highlights the importance of considering rare diagnoses in pediatric airway emergencies.
- Emphasizes the critical role of prompt surgical intervention in managing pediatric airway compromise.