Hairy Polyp of the Nasopharynx Associated With Hypoplastic Soft Palate, Low Eustachian Tube Orifice, and Tonsil

Objective The purpose of this study was to compare the effects of Veau-Wardill-Kilner (VWK) two-flap palatoplasty and Furlow double-opposing Z-plasty operations on eustachian tube (ET) opening in patients with cleft palate (CP). Design Twenty-six patients underwent CP repair between 1993 and 1997. VWK and Furlow operations were used in 13 patients each. All patients were examined by the otorhinolaryngologist before and after the operations; mean follow-up time was 27.3 months. Secretory otitis media (SOM), as identified by tympanograms, was the comparison criterion used. Results The prevalence of SOM was 69% (n = 18) in all CP patients pre-operatively. Among those with preoperative SOM, we did not find any statistically significant difference in the frequency of postoperative SOM between the two techniques. Conclusion This study suggests that there is no difference in postoperative ET function between patients undergoing either VWK or Furlow operations, in spite of the differences in muscle positioning in these operations. We discuss the implications of this finding in relation to surgical anatomy and histology of the soft palate muscles.

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Congenital Choristoma (Hairy Polyp) of the Eustachian Tube: Surgical Management of a Rare Clinical Entity

Ear Nose & Throat Journal ◽

10.1177/014556131609500106 ◽

2016 ◽

Vol 95 (1) ◽

pp. E43-E45 ◽

Cited By ~ 1

Author(s):

Jonathan M. Melzer ◽

Austin Morgan ◽

David Darrow

Keyword(s):

Surgical Management ◽

Eustachian Tube ◽

Clinical Entity ◽

Rare Clinical Entity ◽

Hairy Polyp

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Severe respiratory distress at birth caused by a hairy polyp of the Eustachian tube: Transoral endoscopy-guided treatment

Congenital Anomalies ◽

10.1111/cga.12100 ◽

2015 ◽

Vol 55 (3) ◽

pp. 158-160 ◽

Cited By ~ 1

Author(s):

Giovanna Cantarella ◽

Michele Gaffuri ◽

Lorenza Pugni ◽

Lorenzo Pignataro ◽

Fabio Mosca

Keyword(s):

Respiratory Distress ◽

Eustachian Tube ◽

Severe Respiratory Distress ◽

Hairy Polyp

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Cause of Eustachian Tube Constriction during Swallowing in Patients with Otitis Media with Effusion

Annals of Otology Rhinology & Laryngology ◽

10.1177/000348949610500910 ◽

1996 ◽

Vol 105 (9) ◽

pp. 724-728 ◽

Cited By ~ 12

Author(s):

Haruo Takahashi ◽

Iwao Honjo ◽

Makoto Miura ◽

Akihiko Fujita

Keyword(s):

Otitis Media ◽

Eustachian Tube ◽

Soft Palate ◽

Otitis Media With Effusion ◽

Forced Response ◽

Nasal Discharge ◽

Considerable Part ◽

Response Test ◽

Video Endoscopy

In order to clarify the cause of the constriction of the eustachian tube during swallowing that is often seen in patients with otitis media with effusion, video endoscopy of the pharyngeal orifice of the eustachian tube was performed and superimposed with videograms of the tubal airflow and resistance, which were simultaneously examined by the forced response test. In children with otitis media with effusion (17 ears), when the eustachian tube constricted on the videogram on swallowing, the tubal orifice was found to be squeezed between an elevated soft palate and a hypertrophied adenoid (7/17), squeezed between an elevated soft palate and edema of the posterior lip (7/17), or blocked by nasal discharge (5/17). In adults with otitis media with effusion (7 ears), edema of the posterior lip (5/7) was the main cause of the constriction of the tubal orifice during swallowing. Inflammation in the nasopharynx and the pharyngeal portion of the eustachian tube was considered to be closely related to the tubal constriction, which represents a considerable part of the cause of tubal ventilatory dysfunction in otitis media with effusion.

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Congenital Hairy Polyp of the Palatopharyngeus Muscle

Case Reports in Otolaryngology ◽

10.1155/2013/374681 ◽

2013 ◽

Vol 2013 ◽

pp. 1-3 ◽

Cited By ~ 2

Author(s):

Brandon Christianson ◽

Seckin O. Ulualp ◽

Korgun Koral ◽

Dinesh Rakheja ◽

Ronald Deskin

Keyword(s):

Soft Palate ◽

Airway Pressure ◽

Positive Airway Pressure ◽

Work Of Breathing ◽

Tertiary Care ◽

Pediatric Hospital ◽

Histological Features ◽

Hairy Polyp ◽

The Right ◽

Superior Pole

Purpose. To describe clinical, radiologic, and histological features of a congenital hairy polyp arising from the palatopharyngeus muscle in a neonate.Methods. Chart of a 2-day-old female referred to a tertiary care pediatric hospital for assessment of intraoral mass was reviewed.Results. The child was born at 32 weeks and an intraoral mass was noted. The patient was transferred to tertiary care children’s hospital on day 2 of life. The child had increased work of breathing at presentation and required continuous positive airway pressure. Physical examination revealed a pedunculated mass which was protruding into the oropharynx from the nasopharynx. MRI of the lesion documented a discrete bilobed mass which filled the posterior nasopharynx. The mass abutted the uvula and soft palate; however, the mass did not appear to be arising from the soft palate. Intraoperative exam showed a mass arising from the right palatopharyngeus muscle in the superior pole region of the tonsil. Histologic examination showed ectodermal and mesodermal derivatives confirming congenital hairy polyp. At 8-month followup, the surgical site was healed with no evidence of recurrent lesion.Conclusions. Congenital hairy polyp, though uncommon, should be considered in the differential diagnosis of oropharyngeal mass in neonates.

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