Abstract
Choanal polyps in nose are frequent cause of nasal obstruction and arise mostly from the lateral wall or the sinuses. We report a case of choanal polyp arising from nasal septum which presented as a mass in the nasopharynx and posed a diagnostic dilemma due to unusual site of attachment. Nasal septum is a very rare site of occurrence and only three cases have been reported in the literature. This was successfully managed with endoscopic nasal surgery. Clinical presentation, differential diagnosis, management, along with review of available literature has also been discussed. Septochoanal polyp should be kept as a differential for mass in the nasopharynx.
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