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Glottic Obstruction from Fibroepithelial Polyp.

Joe Jabbour1, James R Chappell2, Michael Busby1

  • 1Department of Otolaryngology, The Tweed Hospital, Tweed Heads, NSW, Australia.

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Summary
This summary is machine-generated.

A rare oropharyngeal fibroepithelial polyp caused stridor and airway obstruction in a male patient. Surgical excision and specialized anesthesia (STRIVE Hi) were successfully used for management.

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Area of Science:

  • Otolaryngology
  • Head and Neck Surgery
  • Pathology

Background:

  • Fibroepithelial polyps are benign mesodermal lesions.
  • These lesions are infrequently reported in the head and neck region.
  • Oropharyngeal location can lead to significant airway compromise.

Observation:

  • A 39-year-old male presented with acute stridor and dysphagia.
  • Flexible laryngoscopy identified a pedunculated sessile polyp in the posterior oropharynx.
  • The mass was causing imminent airway obstruction.

Findings:

  • Histopathology confirmed the mass as a fibroepithelial polyp.
  • The polyp was successfully excised using bipolar diathermy.
  • Differential diagnoses for stridor are broad, but fibroepithelial polyps are a rare consideration.

Implications:

  • This case highlights fibroepithelial polyps as a rare cause of oropharyngeal stridor.
  • SponTaneous Respiration using IntraVEnous anaesthesia and High-flow nasal oxygen (STRIVE Hi) is recommended for pharyngeal polyp resection.
  • Prompt diagnosis and management are crucial for preventing airway obstruction.