PATHOLOGIC QUIZ CASE 1
Randall Welsh, MD, Glenn O. Bratcher, MD, Robin T. Cotton, MD, Cincinnati
A female infant had experienced respiratory distress at birth. She had intermittent severe stridor and apnea, which were relieved by crying and exacerbated by feeding. Rubber 10 F catheters were easily passed through both nares into the oropharynx. The opening of a nasopharyngeal airway was only marginally helpful in relieving the episodes of stridor. A lateral roentgenogram of the nasopharynx disclosed a soft tissue density compatible with adenoid tissue. Transnasal nasopharyngoscopy was unremarkable, except for a prominent adenoid pad, and the larynx appeared normal. The patient was discharged from the hospital, but she continued to have episodes of stridor with feedings for two months.At 2½ months of age, the infant underwent laryngoscopy, bronchoscopy, and nasopharyngoscopy while under general anesthesia. The results were normal, except for a 2.5-cm firm, oval mass attached by
FECHNER RE. Resident's Page. Arch Otolaryngol. 1985;111(8):558–560. doi:10.1001/archotol.1985.00800100106022
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