title: Severe respiratory distress at birth caused by a hairy polyp of the Eustachian tube: Transoral endoscopy-guided treatment.
abstract: Hairy polyps are rare developmental lesions, which present as masses mainly consisting of fatty tissue covered by skin, seldom localized in the nasopharynx, causing respiratory obstruction. We describe the case of a female newborn affected by a hairy polyp arising from the left Eustachian tube, who presented severe respiratory distress soon after birth. The polyp was successfully removed transorally under videoendoscopic guidance. This case highlights the importance of including hairy polyp in the differential diagnosis of respiratory distress at birth because this type of tumor can be lethal and requires prompt treatment. A transoral endoscopy-guided approach can allow successful and minimally invasive excision even in a newborn.
authors.affiliation: Otolaryngology Department, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico, Milan, Italy.|Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy.
authors.forename: Giovanna
authors.initials: G
authors.lastname: Cantarella
authors.affiliation: Otolaryngology Department, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico, Milan, Italy.|Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy.
authors.forename: Michele
authors.initials: M
authors.lastname: Gaffuri
authors.affiliation: Neonatal Intensive Care Unit, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico, Milan, Italy.|Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy.
authors.forename: Lorenza
authors.initials: L
authors.lastname: Pugni
authors.affiliation: Otolaryngology Department, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico, Milan, Italy.|Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy.
authors.forename: Lorenzo
authors.initials: L
authors.lastname: Pignataro
authors.affiliation: Neonatal Intensive Care Unit, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico, Milan, Italy.|Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy.
authors.forename: Fabio
authors.initials: F
authors.lastname: Mosca
mesh_terms: D000402:Airway Obstruction / Q000209:etiology* / Q000473:pathology / Q000601:surgery*; D004724:Endoscopy; D005064:Eustachian Tube / Q000601:surgery*; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D011127:Polyps / Q000150:complications* / Q000601:surgery; D016896:Treatment Outcome
keywords: Eustachian tube; hairy polyp; neonatal respiratory distress