Nasopharyngeal Hairy Polyp Causing Pediatric Sleep-Disordered Breathing.

Authors

Hunter Hammett, Amy K Krecker, Samantha L Payton, Varsha Manucha, Jeffrey D Carron

Published in

Ear, nose, & throat journal. Pages 1455613261458455. Jun 24, 2026. Epub Jun 24, 2026.

Abstract

A rare congenital nasopharyngeal hairy polyp was incidentally identified during an attempted adenoidectomy in a 15-month-old female. The patient presented with snoring and intermittent apnea concerning for upper airway obstruction. Magnetic resonance imaging (MRI) revealed a 2.5-cm partially enhancing nasopharyngeal mass along the soft palate, likely originating near the left nasopharyngeal wall or Eustachian tube orifice. The lesion was excised transorally without complications. Histopathological analysis confirmed a benign hairy polyp composed of mature adipose tissue, skeletal muscle, and cartilage, lined by keratinized squamous epithelium with underlying adnexa including pilosebaceous units. Postoperatively, the patient's symptoms resolved. Interval postoperative MRI surveillance is planned for 6 months. This case highlights the importance of considering rare congenital lesions within the differential diagnosis of pediatric obstructive sleep symptoms. Early recognition and diagnosis can lead to appropriate surgical planning and better outcomes for these patients.

PMID:
42341291
Bibliographic data and abstract were imported from PubMed on 25 Jun 2026.

Read full publication at:
Please sign in to see all details.

Stats

1-terrible, 9-excellent. How would you rate this publication? Sign in in to submit your rating.

Post a comment

You need to be signed in to post comments. You can sign in here.

Comments

There are no comments yet.