Nasopharyngeal hairy polyp with recurrence in the middle ear.
A 6-year-old girl was referred to The Johns Hopkins Hospital for a suspected congenital cholesteatoma. The lesion was determined to be a recurrence of a nasopharyngeal hairy polyp removed in the postnatal period. Simple excision is normally regarded as curative: malignant transformation and local recurrence do not occur. Our case is exceptional in that incomplete excision of the nasopharyngeal polyp was followed by re-growth and extension into the middle ear over a 6-year period. Thus, not all hairy polyps are static lesions. Indeed, this case documents progressive growth of a hairy polyp during physical development of a child, and indicates a potential for local recurrence following incomplete excision. A review of possible etiologies is conducted.
Chang
Steven S
SS
Department Otolaryngology-Head and Neck Surgery, Johns Hopkins University, Baltimore, MD 21287, United States.
Halushka
Marc
M
Meer
Joseph Vander
JV
Goins
Martin
M
Francis
Howard W
HW
D002648:Child; D018424:Cholesteatoma, Middle Ear / Q000175:diagnosis; D003937:Diagnosis, Differential; D005260:Female; D006314:Hearing Loss, Conductive / Q000209:etiology; D006801:Humans; D009302:Nasopharyngeal Diseases / Q000175:diagnosis* / Q000601:surgery; D011127:Polyps / Q000175:diagnosis* / Q000601:surgery; D012008:Recurrence