Abstract
Hairy polyp is an unusual, rare benign developmental malformation of neonates and infants. Embryologically, they are benign lesions containing of both ectodermal and mesodermal origin. Based on size, location of the lesion, they can produce symptoms such as feeding difficulties, airway obstructions, apneic episodes. We present a case of hairy polyp at Oro/Nasopharynx causing feeding difficulties immediately after birth. We explained the mode of presentation, imaging studies, treatment, and review of literature of congenital hairy polyp/choristoma.
Highlights
Hairy polyps are rare benign tumors of neonates and infants, first described by Kelly Brown in 1918
We present a case of hairy polyp at Oro/Nasopharynx causing feeding difficulties immediately after birth
A review of presenting hairy polyp diameter and clinical manifestation suggests that hairy polyps of less than 3 cm in diameter have a higher risk of respiratory distress, as they are more likely to be missed on routine examination [8]
Summary
Hairy polyps are rare benign tumors of neonates and infants, first described by Kelly Brown in 1918. They appear as a sausage like pedunculated masses with a white/gray keratinized epithelium interspersed with hair-bearing areas [1]. They are mostly located in oropharynx and nasopharynx, but can arise from hard palate, soft palate, tonsils, tongue, eustachian tube and middle ear [2]. They are the most common congenital nasopharyngeal tumors with incidence of 1:40,000
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