Pharyngeal hairy polyps

Abstract

It was aimed to report 5 cases of pharyngeal hairy polyps, and to summarize the characteristics combined with literature review. Five cases with pathological diagnosis of pharyngeal hair polyps were diagnosed and treated in our department from June, 2006 to October, 2016, and retrospective analysis of their clinical data was performed. Among the 5 cases, there were 1 male and 4 female, with the age of 2 days to 26 months old. After birth, these patients were accompanied by stridor, difficulty breathing, snoring, feeding difficulties, and slow weight gain. Gray mass in the stem original from the pharynx was found in all 5 cases, with the surface hair-covering. The polyp resections were performed under general anesthesia, with the complete removal of polyp along the pars basilaris during surgery smoothly. The operation during was 5 to 20 minute, with an average of 12 minute, and there was little hemorrhage during operation. Symptoms disappeared completely after the surgery, and follow-up was performed for 1 year without recurrence shown. Pharyngeal hairy polyp is a rare non-malignant clinical disease, mainly caused by symptoms in respiratory tract obstruction. Complete removal of polyps along the pars basilaris is an effective treatment, with no recurrence case reported after surgery.

Oropharyngeal Lesion in a 7-Year-Old Girl

“…Recurrence has been reported in only 1 case after surgical excision. 3,5 Nevertheless, postoperative care is of utmost importance considering the risk of postoperative hemorrhage and edema in infants. 10 The present patient had an uncomplicated postoperative course.…”

Congenital Hairy Polyp Causing Severe Upper Airway Obstruction in a Newborn: A Case Report

“…Clinical presentation of symptoms varies according to the size, location, and mobility of the mass and mostly includes respiratory obstruction (50%) and feeding difficulties (24.6%) in those with larger lesions [ 1 , 8 ]. Other symptoms at birth may include cyanosis, stridor, asphyxia, hypersalivation, dyspnea, recurrent cough, snoring, slow weight gain, and sometimes speech problems as well [ 9 – 11 ]. CHP is rarely associated with other congenital abnormalities; however, some anomalies, including second branchial arch anomalies or cleft palate, have been described [ 12 ].…”

“…Complete transoral surgical resection of the polypoid mass under endoscopic control is usually a safe and minimally invasive treatment of choice for hairy polyps [ 10 , 16 ] with no reported risk of recurrence [ 17 ]. Successful excision of polyps from the pedicle base using either micro-laryngeal scissors [ 4 ], knife [ 11 ], CO 2 laser [ 18 ], or bipolar diathermy [ 19 ] has been reported earlier. In the present case, the tumoral lesion was entirely removed transorally using the Covidien LigaSure surgical device without the need for endoscopy.…”

Autoamputated pharyngeal hairy polyp presented with aero-digestive obstruction: A case report

“…Hairy polyp (HP) or bigerminal choristomas is a rare developmental malformation of the oronasopharyngeal epithelium, which derived from the two germinal layers: ectoderm and mesoderm [1 , 2] . It is the most common congenital deformity of the oropharynx, nasopharynx and oral cavity in infants which arises from the torus tubarius, lateral aspect of the soft palate, or from the pharyngeal wall [3] .…”

“…It occurs in newborns, infants and even small children more likely in females. It is one of the unusual causes of respiratory distress in neonates, and the clinical manifestations vary regarding to tumor size and site and ranging from acute respiratory distress to snoring and slow weight gain [1] , [2] , [3] . On medical imaging, it appears as a pedunculated polyp of fat-density with skin, cartilage and fibrous tissues on Computed Tomography (CT) and Magnetic Resonance Imaging (MRI) [3] .…”