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Head & Face Medicine 2012
HAIRY POLYP on the dorsum of the tongue – detection and comprehension of its possible dinamicsKeywords: Hairy Polyp, Computed Tomography, Benign Tumor Abstract: 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.The patient was controlled for five months and, showing no signs of relapse, was considered free from the lesion.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.Although the Hairy Polyp, also called Teratoid Polyp, has its origins and classification hugely debated [1-3], authors do agree that it is a benign and rare lesion. It’s essentially composed of normal tissue located at an abnormal place, containing elements of the ectodermal and mesodermal germ layers [1,2,4,5]; such as adipose, glandular and muscular tissues, covered by epithelial squamous stratified tissue.Hairy Polyp is more frequently seen among women, mainly newborns, scarcely happening to adults [2]. Its presence in the tongue isn’t common because, at such location and in considerable volume, it could undermine breathing and swallowing [2,3,5-9].For diagnostic purposes, imaging exams such as computed tomography (CT) or magnetic resonance (MRI) might be performed. Particularly we indicated the computed tomography with a topic radiocontrast as it may not only detected the presence, but also the dynamics of a tumor located on the dorsum of the tongue. This paper, therefore, aims to describe and discuss the presence of a Hairy Polyp in the tongue of a newborn girl, rapidly developing into complications regarding the vital functions of swallowing and breathing.A 90 days old female patient, according to information given by the mother, had shown progressive signs of difficulty in swallowing and breathing, together with repeated incidences of cough and vomiting. The
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