Adult nasopharyngeal hairy polyp presenting with middle ear effusion

Year 2015, Volume: 2 Issue: 2, 195 - 97, 10.01.2015

Yunus Kaplan Burak Ulkumen , Serkan Gokpınar Zeynep Senel

https://doi.org/10.17546/msd.02204

Abstract

Adult nasopharyngeal hairy polyp presenting with middle ear effusion

Abstract

Inroduction: Hairy polyp is a relatively uncommon congenital mass mainly seen in naso-oropharynx. It has been also called as choristoma owing to its bigerminal composition and unexpected location.  It is almost always seen at birth and in the early infancy period.  Adult presentation is very exceptional and only 5 adult cases have been reported as far as we know.

Case Presentation: We present a case of nasopharyngeal hairy polyp in a 69 year old woman admitted with hearing impairment due to middle ear effusion. We also review the relevant literature. The lesion was totally removed via combined naso-endoscopic and trans-oral approach. After 1 year of follow up there was no sign of recurrence neither in the endoscopic evaluation nor in the magnetic resonance imaging.

Conclusion: Although nasopharyngeal hairy polyp frequently leads ear problems in the infancy period, the presented case is the 1’st adult hairy polyp case with middle ear effusion. Also it is the 2’nd oldest one so far.

Keywords

Choristoma, Eustachian tube, Nasopharynx, Hairy polyp, Adult

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