Combined transoral and nasendoscopic resection of an eustachian tube hairy polyp causing neonatal respiratory distress

Agrawal, Namit; Kanabar, Deepak; Morrison, G. A. J.

doi:10.1016/j.amjoto.2008.06.001

Cited by 21 publications

(23 citation statements)

References 12 publications

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“…The treatment of choice is surgical excision of the hairy polyp at the base of the lesion, which can be performed via a trans-oral, trans-nasal, or trans-tympanic approach [7,8]. The use of intraoperative endoscopy is useful for avoiding injury to the Eustachian tube.…”

Section: Discussionmentioning

confidence: 99%

Hairy Polyp of the Nasopharynx Arising from the Eustachian Tube

Schulte

Yang

et al. 2015

Head and Neck Pathol

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Hairy polyps of the nasopharynx display characteristic radiological imaging findings, including the presence of fat in the polypoid mass. Furthermore, diagnostic imaging is useful for delineating the site of origin of these lesions, which can facilitate surgical planning. For instance hairy polyps that arise from the right Eustachian tube can be amputated via a trans-nasal approach with endoscopy, but may necessitate a two stage approach in order to avoid injury to critical structures, such as the internal carotid artery. On histology, hairy polyps comprise an outer keratinizing squamous epithelium with adnexal tissue, including hair follicles, and central fibroadipose and cartilaginous tissue. These features are exemplified in this sine qua non radiology-pathology correlation article.

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Section: Discussionmentioning

confidence: 99%

Hairy Polyp of the Nasopharynx Arising from the Eustachian Tube

Schulte

Yang

et al. 2015

Head and Neck Pathol

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“…Malignant potential, metastasis or recurrence after complete removal has not been reported so far [8]. Although it can be removed trans-nasally or trans-orally; in our opinion the best approach is combined naso-endoscopic and transoral approach which provides better visualization and control [12]. Thus, we used the combined endoscopic approach in which we first excise the peduncule from the eusthacian tube under endoscopic view followed by removal of the mass transorally.…”

Section: Discussionmentioning

confidence: 99%

Adult nasopharyngeal hairy polyp presenting with middle ear effusion

Kaplan¹,

Ülkümen

Gökpinar³

et al. 2015

Med Sci and Discov

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“…Hamartomas are ruled out by the presence of single germ layer (usually mesodermal) derivative and dermoid cysts by presence of keratin flakes. MRI is most helpful in locating and characterizing these tumors on the basis of presence fat in the mesenchymal cores [21]. Excision results in complete and uneventful recovery.…”

Section: Discussionmentioning

confidence: 99%

Hairy Polyp, a Clinicopathologic Study of Four Cases

Tariq

Din

Bashir

2013

Head and Neck Pathol

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Hairy polyps (HPs), dermoids or teratoid tumors are rare tumors of naso-oropharyngeal region which commonly present at or shortly after birth. The etiology and classification of these tumors is still debatable and categorized by different authors differently. HPs have female predominance and usually present with respiratory and feeding problems. Microscopically, the polyp is covered by skin with underlying mesenchymal core. The aim of this study is to describe the clinicopathological features of Hairy polyps on a cohort of cases. We reviewed the surgical pathology database of our institution for last 10 years and retrieved four cases of hairy polyps. The age of patients ranged from 1 month to 18 years (mean = 12 years), with a female to male ratio of 1:3. Two of our cases presented at birth and two cases in late teens. Two of the HPs were located in nasopharynx, one on soft and hard palate and one on lower lip. One case was associated with bifurcation of tongue. Size of the polyps ranged from 2.3 to 4.5 cm (mean = 3 cm). Histologically, all HPs were lined by skin and the underlying core consisted of adnexal structures, adipocytes, skeletal muscle, smooth muscle and seromucinous glands. Lymphoid aggregates, cartilage and bone were seen in one case each. Our series highlights the diverse nature of this entity in terms of age of presentation and location. HP at lower lip and associated bifurcation of tongue has not been previously reported. We observed a male predominance in contrast to the published literature. However, number of cases is too few to read a definite conclusion on this point. The etiology is still controversial and includes congenital malformation and activation of pluripotent stem cells.

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Combined transoral and nasendoscopic resection of an eustachian tube hairy polyp causing neonatal respiratory distress

Cited by 21 publications

References 12 publications

Hairy Polyp of the Nasopharynx Arising from the Eustachian Tube

Hairy Polyp of the Nasopharynx Arising from the Eustachian Tube

Adult nasopharyngeal hairy polyp presenting with middle ear effusion

Hairy Polyp, a Clinicopathologic Study of Four Cases

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