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Hairy polyps: A new case presentation and a pathogenetic hypothesis

Jonathan C Simmonds1, Jad Jabbour2, Jennifer A Vaughn3

  • 1Department of Otolaryngology and Facial Plastic Surgery, Floating Hospital for Children at Tufts Medical Center, Boston, Massachusetts.

The Laryngoscope
|October 31, 2018
PubMed

Insights

Hairy polyps, benign congenital lesions, can obstruct infant airways. This case report details a rare eustachian tube hairy polyp and proposes a new origin theory.

Area of Science:

  • Otolaryngology
  • Pediatric Surgery
  • Developmental Biology

Background:

  • Hairy polyps (naso-oropharyngeal choristomas) are congenital benign lesions.
  • Typically located in the oropharynx or nasopharynx, they can cause upper airway obstruction in infants.
  • These lesions are increasingly understood as aberrant ectopic tissues, possibly originating from branchial arches.

Observation:

  • A rare case of a hairy polyp originating from the eustachian tube is presented.
  • The affected patient was a 7-week-old male infant.
  • The clinical presentation and management of this unique case are discussed.

Findings:

  • The study details the successful surgical excision of the eustachian tube hairy polyp.
  • A novel hypothesis regarding the developmental origin of hairy polyps is proposed.
  • This case expands the known anatomical locations for hairy polyp occurrence.

Implications:

  • Highlights the importance of considering ectopic tissue origins for congenital airway lesions.
  • Suggests a potential link between branchial arch development and eustachian tube anomalies.
  • Informs surgical approaches and etiological understanding of rare pediatric head and neck masses.

Keywords:
Hairy polypsdermoidsembryologyeustachian tubemagnetic resonance imagingmiddle earnaso-oropharyngeal choristoma

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