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      HAIRY POLYP on the dorsum of the tongue – detection and comprehension of its possible dinamics

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          Abstract

          Background

          The formation of a Hairy Polyp on the dorsum of the tongue is a rare condition that may hinder vital functions such as swallowing and breathing due to mechanical obstruction. The authors present the situation on a child with an approach of significant academic value.

          Methods

          Imaging diagnostics with the application of a topical oral radiocontrastant was used to determine the extent of the tumor. Performed treatment was complete excision and diagnostics was confirmed with anatomopathological analysis.

          Results

          The patient was controlled for five months and, showing no signs of relapse, was considered free from the lesion.

          Conclusion

          Accurate diagnostics of such a lesion must be performed in depth so that proper surgical treatment may be performed. The imaging method proposed has permitted the visualization of the tumoral insertion and volume, as well as the comprehension of its threatening dynamics.

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          Most cited references9

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          Hamartomatous tongue lesions in children.

          The incidence and spectrum of tongue lesions in children, in particular tongue hamartomas, is relatively unknown. We report a retrospective review of all tongue lesions seen at a major tertiary care children's hospital over an 18-year period with an emphasis on describing tongue hamartomas. A total of 135 tongue lesions were identified. Vascular/lymphatic lesions (36/135) were the most common followed by mucus extravasation phenomenon (22/135). Interestingly, hamartomatous lesions (18/135) were the third most common lesion category identified. Lingual hamartomas were predominantly submucosal in location and were classified histologically by tissue composition as follows: neurovascular (2/18), smooth muscle predominant (5/18), fat predominant (1/18), and smooth muscle and fat containing (10/18). All 5 smooth muscle predominant hamartomas also contained vasculature, and 1 case additionally contained salivary gland tissue. The single fat predominant hamartoma additionally contained vessels and salivary gland. The final 10 hamartomas contained varying amounts of both smooth muscle and fat, and also admixed combinations of vessels, nerves, and salivary glands. Two of these 10 cases additionally contained foci of choristomatous elements, including cutaneous adnexal structures and cartilage. Most patients with hamartomatous lesions were young, 2 years or less. Eight cases were congenital in origin. Females outnumbered males by 2:1. The majority of lesions (16/18) were dorsal in location, and 4 patients had a syndromic association, all oral-facial-digital syndrome.
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            Hairy polyp of the oropharynx: case report and literature review.

            Hairy polyp of the oronasopharynx is an uncommon developmental malformation that is most frequently seen as a pedunculated tumor in the neonate. Derived from the ectoderm and mesoderm, this benign tumor generally has been classified as dermoid. The clinical presentation is dependent on the polyp's size and location. A full-term girl was evaluated for an oral mass that was first noted at the time of birth. Evaluation showed a 5- x 2.5-cm soft, nontender, skin-covered mass that protruded from the oral cavity. During surgery, it was noted that the stalk was attached to the superior pole of the left tonsil. The histology of the mass was consistent with a hairy polyp. Knowledge of this type of malformation facilitates early intervention and avoids significant morbidity.
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              • Abstract: not found
              • Article: not found

              Congenital hairy polyp of the nasopharynx associated with cleft palate: report of two cases

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                Author and article information

                Journal
                Head Face Med
                Head Face Med
                Head & Face Medicine
                BioMed Central
                1746-160X
                2012
                9 July 2012
                : 8
                : 19
                Affiliations
                [1 ]Department of Oral and Maxillofacial Surgery, Hospital de Clínicas de Porto Alegre, (Ramiro Barcelos, 2350), Porto Alegre, RS, (900350-903), Brazil
                [2 ]Department of Pathology, UCSPA, (Sarmento Leite St 245), Porto Alegre, RS, (90050-170), Brazil
                [3 ]Department of Radiology, UCSPA, (Sarmento Leite St 245), Porto Alegre, RS, (90050-170), Brazil
                [4 ]Department of Dentistry, School of Dentistry - UFRGS, (Ramiro Barcelos St, 2492), Porto Alegre, RS, (900035-003), Brazil
                [5 ]Department of Anesthetist at Irmandade Santa Casa de Misericordia de Porto Alegre, (Professor Annes DiasSt, 295), Porto Alegre, RS, (90010-170), Brazil
                Article
                1746-160X-8-19
                10.1186/1746-160X-8-19
                3391985
                22704143
                0414b20c-aae5-484c-bc58-77b8a09002f1
                Copyright ©2012 Puricelli et al.; licensee BioMed Central Ltd.

                This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 11 February 2012
                : 15 June 2012
                Categories
                Case Report

                Orthopedics
                computed tomography,hairy polyp,benign tumor
                Orthopedics
                computed tomography, hairy polyp, benign tumor

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