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Liu Y, Yang TW, Long YL, Xu WB, Tang LW, Li CL. A Case of a Eustachian Tube Hairy Polyp Misdiagnosed as an Adenoid Residual in a Child. Ear Nose Throat J 2024:1455613241244667. [PMID: 38605528 DOI: 10.1177/01455613241244667] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/13/2024] Open
Abstract
Hairy polyps, considered a highly unusual congenital anomaly of the pharynx, are believed by many scholars to arise from the ectoderm and mesoderm during the embryonic stage. These growths often have a pear or sausage shape, are pedunculated, and their size ranges between 0.5 and 6 cm. They are typically grayish white or pink in color. This article discusses a 12-year-old female who had a growth at the Eustachian tube's entrance on the left side of the nasopharyngeal wall, as identified by a computed tomography scan of the neck soft tissue; it was suspected to be a hairy polyp originating from the left Eustachian tube. The diagnosis of a hairy polyp was confirmed through pathology. The hairy polyp at the Eustachian tube, in this case, showed an irregular form with a wide base, making it look similar to an adenoid; thus, increasing the risk of it being misdiagnosed as residual adenoid tissue.
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Affiliation(s)
- Yi Liu
- Department of Otolaryngology, Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou, China
| | - Tian Wen Yang
- Department of Otolaryngology, Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou, China
| | - Yi Lin Long
- Department of Otolaryngology, Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou, China
| | - Wen Bo Xu
- Department of Otolaryngology, Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou, China
| | - Li Wen Tang
- Department of Otolaryngology, Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou, China
| | - Chun Lei Li
- Department of Otolaryngology, Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou, China
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Benaim EH, Worden CP, Bantumilli S, Ramjee VG, Zdanski CJ. Large Nasopharyngeal Hairy Polyp Causing Immediate Respiratory Distress at Birth. Laryngoscope 2024. [PMID: 38554073 DOI: 10.1002/lary.31419] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2024] [Revised: 03/11/2024] [Accepted: 03/15/2024] [Indexed: 04/01/2024]
Abstract
This article presents a rare case of a large hairy polyp, a developmental malformation causing a benign tumor, within the nasopharynx. The patient, born with the polyp obstructing the airway, required immediate intubation and a combined transnasal-transoral surgical approach for excision. The case underscores the challenges in diagnosing and managing such polyps, emphasizing the importance of imaging for surgical planning, and the consideration of multiple approaches to ensure complete resection and prevent recurrence. Laryngoscope, 2024.
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Affiliation(s)
- Ezer H Benaim
- Department of Otolaryngology-Head and Neck Surgery, University of North Carolina, Chapel Hill, North Carolina, U.S.A
| | - Cameron P Worden
- Department of Otolaryngology-Head and Neck Surgery, University of North Carolina, Chapel Hill, North Carolina, U.S.A
| | - Surekha Bantumilli
- Department of Pathology and Laboratory Medicine, University of North Carolina, Chapel Hill, North Carolina, U.S.A
| | - Vikram G Ramjee
- Department of Otolaryngology-Head and Neck Surgery, University of North Carolina, Chapel Hill, North Carolina, U.S.A
| | - Carlton J Zdanski
- Department of Otolaryngology-Head and Neck Surgery, University of North Carolina, Chapel Hill, North Carolina, U.S.A
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Fernández Calatayud A, Molina Merino A, Escorihuela García V, Llópez Carratalá I, Orta Sibu N. [Nasopharyngeal hairy polyp in a newborn with intermittent airway obstruction. Case report]. ARCH ARGENT PEDIATR 2021; 118:e491-e494. [PMID: 32924407 DOI: 10.5546/aap.2020.e491] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2020] [Accepted: 04/21/2020] [Indexed: 11/12/2022]
Abstract
Nasopharyngeal hairy polyps are rare benign tumors. We present a newborn case with a hairy polyp mass causing cyanosis and respiratory distress due to obstruction of the upper airway during the first 24 hours of life. The patient required resuscitation and endotracheal intubation. Diagnostic studies confirmed the presence of a mass in the lateral pharyngeal wall. Surgical treatment and removal of the mass was performed with satisfactory evolution of the patient.
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Affiliation(s)
| | | | | | | | - Nelson Orta Sibu
- Universidad de Carabobo, Valencia, Venezuela; Hospital "Francisco de Borja", Gandía, Valencia, España
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Ebenezer JA, Mathews SS. Hairy Polyp of the Nasopharynx Associated With Hypoplastic Soft Palate, Low Eustachian Tube Orifice, and Tonsil. Ear Nose Throat J 2020; 101:NP68-NP70. [PMID: 32720810 DOI: 10.1177/0145561320944115] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Affiliation(s)
| | - Suma Susan Mathews
- Department of ENT, Christian Medical College, Vellore, Tamil Nadu, India
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Yu Z, Cao Z, Fu H, Wang H. Focusing on the clinical diagnosis and risk of hairy polyp: A report of 7 cases. Turk J Pediatr 2019; 60:460-463. [PMID: 30859777 DOI: 10.24953/turkjped.2018.04.020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
Yu Z, Cao Z, Fu H, Wang H. Focusing on the clinical diagnosis and risk of hairy polyp: A report of 7 cases. Turk J Pediatr 2018; 60: 460-463. The hairy polyp is a rare congenital tumor. We introspected 7 cases of hairy polyp that were operated on in our hospital. Microscopically, they all contained only ectoderm and mesoderm tissue and the surface of tumors covered skin and hair regularly. One patient died of a hemorrhage and one girl`s hairy polyp occurred in nose. The result indicates that age, pedicle and thin hair are significant markers for the differential diagnosis of hairy polyp and it is important to closely follow a patient post operatively not only for airway obstruction but also hemorrhage.
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Affiliation(s)
- Zhaoyan Yu
- Department of Otolaryngology-Head and Neck Surgery, Provincial Hospital Affiliated to Shandong University, Jinan, Shandong 250021, China
| | - Zhixin Cao
- Department of Pathology, Provincial Hospital Affiliated to Shandong University, Jinan, Shandong 250021, China
| | - Haiyan Fu
- Department of Pathology, Provincial Hospital Affiliated to Shandong University, Jinan, Shandong 250021, China
| | - Haibo Wang
- Department of Otolaryngology-Head and Neck Surgery, Provincial Hospital Affiliated to Shandong University, Jinan, Shandong 250021, China
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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.
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Eti CM, İsmi O, Arpacı RB, Vayısoğlu Y. Oropharyngeal Hairy Polyp Causing Dysphagia. Turk Arch Otorhinolaryngol 2015; 53:188-191. [PMID: 29392005 DOI: 10.5152/tao.2015.1098] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2015] [Accepted: 10/15/2015] [Indexed: 11/22/2022] Open
Abstract
Hairy polyp is a rare, benign tumor that comprises ectodermal and mesodermal germ layers. The embryogenesis of hairy polyp is precisely unknown, and concurrently, it has a female predominance. Although hairy polyp is observed in every part of the body; it is frequently located in the nasopharynx and oropharynx. Respiratory distress and feeding difficulties are the most related symptoms. Differential diagnoses comprise hemangioma, teratoma, epidermoid cyst, neuroblastoma, and meningocele. In this report, a seven-year-old patient who was admitted to our clinic with swallowing difficulty because of an oropharyngeal hairy polyp was described.
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Affiliation(s)
- Can Mehmet Eti
- Department of Otorhinolaryngology, Mersin University School of Medicine, Mersin, Turkey
| | - Onur İsmi
- Department of Otorhinolaryngology, Mersin University School of Medicine, Mersin, Turkey
| | - Rabia Bozdoğan Arpacı
- Department of Medical Pathology, Mersin University, School of Medicine, Mersin, Turkey
| | - Yusuf Vayısoğlu
- Department of Otorhinolaryngology, Mersin University School of Medicine, Mersin, Turkey
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Cantarella G, Gaffuri M, Pugni L, Pignataro L, Mosca F. Severe respiratory distress at birth caused by a hairy polyp of the Eustachian tube: Transoral endoscopy-guided treatment. Congenit Anom (Kyoto) 2015; 55:158-60. [PMID: 25483752 DOI: 10.1111/cga.12100] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/30/2014] [Accepted: 11/30/2014] [Indexed: 11/30/2022]
Abstract
Hairy polyps are rare developmental lesions, which present as masses mainly consisting of fatty tissue covered by skin, seldom localized in the nasopharynx, causing respiratory obstruction. We describe the case of a female newborn affected by a hairy polyp arising from the left Eustachian tube, who presented severe respiratory distress soon after birth. The polyp was successfully removed transorally under videoendoscopic guidance. This case highlights the importance of including hairy polyp in the differential diagnosis of respiratory distress at birth because this type of tumor can be lethal and requires prompt treatment. A transoral endoscopy-guided approach can allow successful and minimally invasive excision even in a newborn.
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Affiliation(s)
- Giovanna Cantarella
- Otolaryngology Department, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico, Milan, Italy.,Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy
| | - Michele Gaffuri
- Otolaryngology Department, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico, Milan, Italy.,Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy
| | - Lorenza Pugni
- Neonatal Intensive Care Unit, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico, Milan, Italy.,Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy
| | - Lorenzo Pignataro
- Otolaryngology Department, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico, Milan, Italy.,Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy
| | - Fabio Mosca
- Neonatal Intensive Care Unit, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico, Milan, Italy.,Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy
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İsmi O, Görür K, Arpacı RB, Vayisoglu Y, Özcan C. Hairy polyp of the supratonsillar fossa causing intermittent airway obstruction. Int Arch Otorhinolaryngol 2015; 19:90-2. [PMID: 25992158 PMCID: PMC4392509 DOI: 10.1055/s-0034-1387812] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2014] [Accepted: 07/07/2014] [Indexed: 11/29/2022] Open
Abstract
Introduction Dermoids frequently called “hairy polyps” and their nature have not been completely clarified. Objectives To discuss the unusual presentation, symptoms, incidence, histology, and perioperative management of hairy polyps in the light of a case and current literature. Resumed Report A 3-year-old boy presented with intermittent respiratory distress since birth. Oropharyngeal examination revealed a nasopharyngeal mass originating from the supratonsillar fossa. The mass was so mobile that it moved between the oropharynx and the nasopharynx during swallowing. The radiologic and pathologic examinations confirmed the mass as a hairy polyp. Conclusion In a pediatric age group with airway obstruction, hairy polyps of the oropharyngeal region must also be included in the differential diagnosis.
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Affiliation(s)
- Onur İsmi
- Assistant Professor; Department of Otorhinolaryngology, Faculty of Medicine, University of Mersin
| | - Kemal Görür
- Professor; Department of Otorhinolaryngology, Faculty of Medicine, University of Mersin
| | - Rabia Bozdoğan Arpacı
- Assistant Professor; Department of Pathology, Faculty of Medicine, University of Mersin
| | - Yusuf Vayisoglu
- Professor; Department of Otorhinolaryngology, Faculty of Medicine, University of Mersin
| | - Cengiz Özcan
- Professor; Department of Otorhinolaryngology, Faculty of Medicine, University of Mersin
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Varshney R, Pitaro J, Alghonaim Y, Lacroix Y. Hemorrhagic Hairy Polyp Causing Velopharyngeal Dysfunction in a Newborn. Cleft Palate Craniofac J 2014; 52:625-8. [PMID: 25137603 DOI: 10.1597/13-265] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Velopharyngeal dysfunction (VPD) can be secondary to anatomic, neurologic, or functional maldevelopment in the pediatric population. We present a case of transient VPD after the removal of a voluminous oropharyngeal hairy polyp in a newborn with an intact palate. This report sensitizes physicians, speech-language pathologists, and occupational therapists not only to the repercussions of oropharyngeal congenital masses, such as hairy polyps, on the feeding mechanisms of a newborn but also to the possibility of conservative management.
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Affiliation(s)
- Laura J White
- Department of Otolaryngology-Head & Neck Surgery, Emory University Atlanta, Georgia, USA
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12
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Abstract
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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