{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,3]],"date-time":"2026-04-03T13:51:43Z","timestamp":1775224303386,"version":"3.50.1"},"reference-count":13,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,4,3]],"date-time":"2026-04-03T00:00:00Z","timestamp":1775174400000},"content-version":"vor","delay-in-days":92,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Case Reports in Otolaryngology"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>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\u2019 clinical presentation while maintaining a broad differential diagnosis in pediatric tonsil lesions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This retrospective case series analyzes two pediatric patients who underwent tonsillectomy and adenoidectomy for symptoms related to sleep\u2010disordered breathing and obstructive sleep apnea.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>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\u2010centered care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1155\/crot\/5486047","type":"journal-article","created":{"date-parts":[[2026,4,3]],"date-time":"2026-04-03T13:05:00Z","timestamp":1775221500000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Unraveling Fibrous Tonsil Lesions: A Case Series on Diagnostic Dilemmas in Pediatric Tonsillectomy"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-0489-3058","authenticated-orcid":false,"given":"Isabel","family":"Snee","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel","family":"Swanson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kelly","family":"Scriven","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2109-5427","authenticated-orcid":false,"given":"Earl","family":"Harley","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,4,3]]},"reference":[{"key":"e_1_2_10_1_2","doi-asserted-by":"publisher","DOI":"10.1016\/0030-4220(86)90010-1"},{"key":"e_1_2_10_2_2","doi-asserted-by":"publisher","DOI":"10.7860\/JCDR\/2015\/15080.6950"},{"key":"e_1_2_10_3_2","doi-asserted-by":"publisher","DOI":"10.1136\/bcr-2022-254536"},{"key":"e_1_2_10_4_2","doi-asserted-by":"publisher","DOI":"10.11604\/pamj.2021.39.276.31057"},{"key":"e_1_2_10_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00428-011-1088-8"},{"key":"e_1_2_10_6_2","doi-asserted-by":"publisher","DOI":"10.1258\/0022215011908630"},{"key":"e_1_2_10_7_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2273.1978.tb00674.x"},{"key":"e_1_2_10_8_2","doi-asserted-by":"publisher","DOI":"10.1155\/2021\/1371329"},{"key":"e_1_2_10_9_2","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2014.59.5827"},{"key":"e_1_2_10_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2018.01.022"},{"key":"e_1_2_10_11_2","first-page":"69","article-title":"Tonsillar Lymphoma in Children According to Age Group: A Systematic Review","volume":"30","author":"de Carvalho G.-M.","year":"2018","journal-title":"Iranian Journal of Otorhinolaryngology"},{"key":"e_1_2_10_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ctrv.2010.02.003"},{"key":"e_1_2_10_13_2","doi-asserted-by":"publisher","DOI":"10.4103\/0973-1482.57123"}],"container-title":["Case Reports in Otolaryngology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/crot\/5486047","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1155\/crot\/5486047","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/crot\/5486047","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,3]],"date-time":"2026-04-03T13:05:01Z","timestamp":1775221501000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1155\/crot\/5486047"}},"subtitle":[],"editor":[{"given":"M. Tayyar","family":"Kalcioglu","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":13,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1155\/crot\/5486047"],"URL":"https:\/\/doi.org\/10.1155\/crot\/5486047","archive":["Portico"],"relation":{},"ISSN":["2090-6765","2090-6773"],"issn-type":[{"value":"2090-6765","type":"print"},{"value":"2090-6773","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"2024-09-25","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-03-17","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-03","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"5486047"}}