The Desmoid Tumor Research Foundation

April 2018

Treatment of extensive post tonsillectomy oropharyngeal stenosis secondary to fibromatosis

Author Information

Chang B(1), Ha JF(2), Zopf D(1)

(1)Department of Pediatrics Otolaryngology Head & Neck Surgery, Michigan Medicine, C.S. Mott Children's Hospital, 1540 East Hospital Drive, Ann Arbor, MI 48109, USA. (2)University of Western Australia Department of Surgery, Stirling Highway, Nedlands, WA 6009, Australia.

Publication

Int J Ped Otor

Summary

Aggressive fibromatosis is an uncommon, benign tumor of fibroblastic origin with high potential for local invasion. Less than a quarter of these lesions are located in the head and neck, and although extremely rare, associations have been demonstrated with physical trauma. We describe a unique case of oropharyngeal fibromatosis with traumaticetiology, managed successfully with surgical excision of the lesion with negative surgical margins. A 5-year old patient was found to have an aggressive fibromatosis causing oropharyngeal stenosis following tonsillectomy. We demonstrate that surgical resection with a clear margin allowed for alleviation of stenosis without recurrences reported since the procedure.

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