Tracheal Nodular Fasciitis Presenting with Stridor: A Rare Case Report

Articles in Press

Document Type : Case Report

Authors

1 Department of ENT, IMS & SUM Hospital, Bhubaneswar, India.

2 Department of Pediatrics, IMS & SUM Hospital, Bhubaneswar, India.

3 Department of Pathology, IMS & SUM Hospital, Bhubaneswar, India.

10.22038/ijorl.2025.85764.3885

Abstract

Introduction:
Nodular fasciitis (NF) is a benign, rapidly growing, non-neoplastic myofibroblastic lesion of the subcutaneous tissue affecting various anatomical sites throughout the body. NF of the trachea is rare, and its occurrence in the pediatric age group is highly uncommon in clinical practice.
Case Report: 
2-year-old female child who presented to the emergency department with severe stridor causing critical airway obstruction. The mass was successfully excised via an emergent surgical procedure, and the definitive diagnosis of nodular fasciitis was established through histopathology examination, which revealed proliferation of spindle-shaped myofibroblasts in a myxoid stroma without features of malignancy. 
Conclusion:
Early resuscitation is essential to save the patient's life, and histopathology confirms the diagnosis.

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Iranian Journal of Otorhinolaryngology

Articles in Press, Corrected Proof
Available Online from 25 December 2025

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