Section: 
Rhinology issues
Rhinology issuesRare cause of respiratory distress syndrome in child: hamartoma of salivary gland in nasopharynx
S. Alekseenko (1), E. K. Tikhomirova (2), E. V. Serikova (3), S. V. Barashkova (4), E. M. Prodanovich (5), V. V. Turieva (6)
(1), (4), (6) Saint Petersburg Research Institute of Ear, Throat, Nose and Speech, Saint Petersburg, 190013, Russian Federation, (1), (2) Mechnikov Northwest State Medical University, Saint Petersburg, 191015, Russian Federation, (3), (4), (5) Raukhfus Children’s Clinical Center of High Medical Technologies, Saint Petersburg, 191036, Russian Federation
UDK: УДК 616.24-008.4:616.316+616.327.2]-006.39-053.36
DOI: https://doi.org/10.18692/1810-4800-2024-4-8-15
ABSTRACT
Abstract. Relevance. Hamartoma of salivary gland or salivary gland anlage tumor (SGAT) is an extremely rare pathology found mainly in children in the early months of life. The symptoms are nonspecific and are mainly represented by respiratory distress syndrome, difficulty in feeding, apnea, and sleep breathing disorders. Description of the clinical observation. This article presents a clinical case of respiratory distress syndrome in a 4-month-old child arisen due to a salivary gland hamartoma in the nasopharynx. SGAT is most commonly found in children in the first months of life, but there are cases of later onset. SGAT is a benign neoplasm, and surgical resection is the main treatment option. SGAT is characterized by the absence of recurrence after removal. The histological picture is a combination of epithelial and mesenchymal components. Conclusion. SGAT is a rare benign nasopharyngeal neoplasm in a child in the first months of life. Early diagnostics, including endoscopic examination of the nasopharynx, CT and MRI examinations, allowed us to determine the operative treatment tactics, achieve a good functional result in the form of complete relief of the child’s complaints, and prevent development of serious complications related to the upper airway obstruction.
Publication date:
09.08.2024
Keywords:
hamartoma of the salivary gland, respiratory distress syndrome, salivary gland anlage tumor, nasopharyngeal neoplasm in a child, congenital pleomorphic nasopharyngeal adenoma, benign nasopharyngeal neoplasm For citation:
Alekseenko S., Tikhomirova E. K., Serikova E. V., Barashkova S. V., Prodanovich E. M., Turieva V. V. Rare cause of respiratory distress syndrome in child: hamartoma of salivary gland in nasopharynx. Russian Otorhinolaryngology. 2024;23(4):8-15. (In Russ.) https://doi.org/10.18692/1810-4800-2024-4-8-15