Benign postcricoid hypertrophy: Case report and review of the literature. (November 2020)

• Record Type: Journal Article
• Authors: Contrera, Kevin J.; Elsheikh, Tarik M.; Hopkins, Brandon; Hadford, Stephen; Anne, Samantha
• Is Part Of: International journal of pediatric otorhinolaryngology. Volume 138(2020:Nov.)
• Publication Date: 2020-11
• Subjects: Postcricoid -- Post cricoid -- Vascular malformation -- Postcricoid cushion -- Postcricoid prolapse -- Pressure-dependent postcricoid mass; Otolaryngology -- Periodicals; Pediatrics -- Periodicals; Otolaryngology -- Periodicals; Pediatrics -- Periodicals; Oto-rhino-laryngologie -- Périodiques; Pédiatrie -- Périodiques; 618.9209751
• DOI: 10.1016/j.ijporl.2020.110308
• Languages: English
• ISSNs: 0165-5876

Abstract

Abstract: This is a case of a premature infant with stridor, supplemental oxygen requirement, and dysphagia refractory to anti-reflux and anti-inflammatory medications. Endoscopy revealed postcricoid fullness with MRI showing submucosal lobulations. Microscopic resection of an obstructive postcricoid mass resulted in immediate resolution of stridor and oxygen requirement with mild improvement in dysphagia. Pathology demonstrated submucosal fibrosis, edema, and vascularity with no evidence of malignancy, fibromatosis, or cystic/polypoid components. Review of the literature shows that lesions in postcricoid region include amyloidosis, lymphatic malformation, and normal-variant hypertrophy. Surgery should be considered for atypical postcricoid lesions with symptoms refractory to medical management.