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Nasopharyngeal Polyp in a Patient With Submucous Cleft Palate
Mosaad Abdel-Aziz1, Gamal Abdel-Fattah2, Nada M Abdel-Aziz3
1Otolaryngology - Head and Neck Surgery, Cairo University, Cairo, EGY.
Cureus
|June 7, 2021
Summary
A nasopharyngeal polyp can surprisingly support a palate weakened by submucous cleft palate (SMCP). Simultaneous polyp removal and pharyngeal flap surgery effectively treated the condition without worsening speech nasality.
Area of Science:
- Otolaryngology
- Speech Pathology
Background:
- Submucous cleft palate (SMCP) often leads to velopharyngeal insufficiency and speech nasality.
- Nasopharyngeal polyps are rare, and their coexistence with SMCP presents unique clinical challenges.
Observation:
- A 16-year-old girl with SMCP presented with a nasopharyngeal polyp originating from the nasal septum.
- The polyp appeared to provide structural support to the weakened palate, influencing speech articulation.
Findings:
- Trans-nasal endoscopic removal of the polyp was performed concurrently with a superiorly-based pharyngeal flap to address the SMCP.
- Postoperative speech assessments indicated no increase in nasality, and the patient reported improved nasal breathing.
Implications:
- Nasopharyngeal polyps may offer compensatory support in cases of SMCP, potentially masking velopharyngeal dysfunction.
- Simultaneous surgical intervention for the polyp and SMCP is a viable and effective treatment strategy, preserving speech quality and improving nasal airflow.
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