Unraveling Fibrous Tonsil Lesions: A Case Series on Diagnostic Dilemmas in Pediatric Tonsillectomy.
Publication/Presentation Date
1-1-2026
Abstract
PURPOSE: This study examines the challenges associated with diagnosing and managing fibrous tonsillar lesions in pediatric patients undergoing tonsillectomy and adenoidectomy. In this report, we outline our strategy for navigating these patients' clinical presentation while maintaining a broad differential diagnosis in pediatric tonsil lesions.
METHODS: This retrospective case series analyzes two pediatric patients who underwent tonsillectomy and adenoidectomy for symptoms related to sleep-disordered breathing and obstructive sleep apnea.
RESULTS: Both cases displayed substantial tonsillar hypertrophy with fibrous, polyploid lesions. Subsequent histopathological analysis revealed fibroepithelial polyps (FEPs) in one case, while the other demonstrated tonsillar hyperplasia. Following surgery, recovery for both cases was largely unremarkable, with one patient developing a transient fever and the other managing mild postoperative pain with analgesics.
CONCLUSIONS: These cases illustrate the diagnostic complexity of pediatric tonsillar pathology and emphasize the need to maintain a broad differential diagnosis for tonsillar lesions. Thorough histopathological evaluation and transparent communication with patients and their families are essential for enhancing patient-centered care.
Volume
2026
First Page
5486047
Last Page
5486047
ISSN
2090-6765
Published In/Presented At
Snee, I., Swanson, D., Scriven, K., & Harley, E. (2026). Unraveling Fibrous Tonsil Lesions: A Case Series on Diagnostic Dilemmas in Pediatric Tonsillectomy. Case reports in otolaryngology, 2026, 5486047. https://doi.org/10.1155/crot/5486047
Disciplines
Education | Medical Education
PubMedID
41947909
Department(s)
Department of Education
Document Type
Article