A rare case of pedunculated tonsilar mass in a child

Abstract

Pedunculated polyps of palatine tonsils are rare and have been described using various terms. Most of the cases have been reported in adults with variable symptoms. We report a two and a half years old male child who presented with history of snoring and inability to lie down flat and sleep due to chocking and difficulty in breathing. Clinical examination revealed a mass extending from nasopharynx to the base of the tongue. A diagnosis of pedunculated palatine tonsilar mass was made intaoperatively and the mass was excised under general anesthesia. An unusual presentation of a rare condition in a pediatric patient has been discussed along with the airway management.