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Updated: Jan 18, 2026

Endaural Endoscopic Atticoantrotomy Retrograde Mastoidectomy using a Constant Suction Bone-drilling Technique
Published on: May 23, 2021
[One case of eustachian tube hairy polyp was removed by microscope combined with endoscope]
Jiahui Jin1, Bo Cao1, Huanxin Yu2
1Department of Otorhinolaryngology Head and Neck Surgery,Tianjin Children's Hospital,Tianjin,300143,China.
Insights
A pediatric Eustachian hairy polyp was diagnosed and surgically removed in a young child presenting with ear discharge and nasal congestion. Post-operative follow-up confirmed symptom resolution and no recurrence.
Area of Science:
- Otolaryngology
- Pediatric Surgery
Background:
- Eustachian hairy polyps are rare benign tumors.
- Diagnosis in young children can be challenging due to non-specific symptoms.
Purpose of the Study:
- To report the diagnosis and surgical management of a pediatric case of Eustachian hairy polyp.
- To highlight the clinical presentation and imaging findings.
Main Methods:
- Endoscopic examination and MRI were utilized for diagnosis.
- Surgical resection involved left modified radical mastoidectomy and endoscopic nasopharyngeal tumor resection.
Main Results:
- Histopathology confirmed a left Eustachian tube hair polyp.
- The patient experienced significant symptom improvement post-surgery.
- No tumor recurrence was observed at 3-month follow-up.
Conclusions:
- Eustachian hairy polyps can occur in pediatric patients.
- Multidisciplinary surgical approach ensures effective treatment and favorable outcomes.
Abstract:
This paper reports the diagnosis and treatment of a child with eustachian hairy polyp. The patient was a female, aged 1 year and 4 months, and visited our clinic due to "intermittent purulent discharge of the left ear, nasal congestion and sleep snoring for 1 year". Preoperative endoscopic examination found white masses at the posterior part of the nasal cavity on both sides. The imaging findings showed masses with streaks and circular-like mixed signal accompanied by slightly uneven enhancement at the left eustachian duct and the posterior wall of the nasopharyngeal cavity, and soft tissue density in the left tympanic antrum. Left modified radical mastoidectomy and radical endoscopic resection surgery for nasopharyngeal tumors was performed under general anesthesia. Histopathological examination revealed polyp of the left eustachian tube hair. The patient's symptoms improved after surgery, and no tumor recurrence was found after 3 months of follow-up.
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