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Laryngoscope. 2018 Oct 29. doi: 10.1002/lary.27555. [Epub ahead of print]

Hairy polyps: A new case presentation and a pathogenetic hypothesis.

Author information

1
Department of Otolaryngology and Facial Plastic Surgery, Floating Hospital for Children at Tufts Medical Center, Boston, Massachusetts.
2
Department of Otolaryngology and Communication Enhancement.
3
Department of Radiology.
4
Department of Pathology, Boston Children's Hospital, Boston, Massachusetts, U.S.A.

Abstract

Hairy polyps are benign lesions found in the oropharynx or nasopharynx that are thought to be present at birth and can lead to upper airway obstruction in infants. Also known as naso-oropharyngeal choristoma, they are increasingly viewed as aggregates of bigeminal tissue, likely from the first or second branchial arches, found in aberrant locations. They are benign lesions that are usually successfully treated by surgical excision. Here we present a rare case of a hairy polyp originating in the eustachian tube of a 7-week-old male, discuss our management of the patient, and put forth a new hypothesis as to the origin of these lesions. Laryngoscope, 2018.

KEYWORDS:

Hairy polyps; dermoids; embryology; eustachian tube; magnetic resonance imaging; middle ear; naso-oropharyngeal choristoma

PMID:
30374972
DOI:
10.1002/lary.27555

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