Summary:
We report an interesting case of a neonate presenting
immediately after birth with respiratory distress, inspiratory
stridor and difficult intubation. During operative
microlaryngoscopy, a well-delineated papilloma like
elongated supraglottic mass was seen. The patient underwent
surgery, and the diagnosis was confirmed histologically.
Biopsy revealed tissue compatible with hamartoma including
blood vessel, nerve bundle and cartilage plate. The mass was
removed by direct laryngoscopy. Neonatal laryngeal
hamartomas are extremely rare. In general, an excellent
prognosis is associated with these lesions, and the treatment
of choice is endoscopic surgical excision. To our knowledge,
this is the first description of a neonatal laryngeal hamartoma
in Bangladesh.
Keywords: Neonate, Larynx, Hamartoma
(J Bangladesh Coll Phys Surg 2016; 34: 172-174)