Challenging differential diagnosis, Rare disease
Joe Jabbour, James R. Chappell, Michael Busby, Nathan W. McCubbery, Daniel F. Brown, Serena J.K. Park, John G. O'Neill
Department of Otolaryngology, The Tweed Hospital, Tweed Heads, NSW, Australia
Am J Case Rep 2019; 20:219-223
Fibroepithelial polyps are benign lesions of mesodermal origin, which have been reported in the head and neck area. The aim of this study is to describe the management of an oropharyngeal fibroepithelial polyp causing stridor.
CASE REPORT: A 39-year-old male presented with 24 hours of stridor and dysphagia. Flexible laryngoscopy revealed a pedunculated sessile polyp on the posterior oropharynx. The mass was excised using bipolar diathermy and histopathology revealed a fibroepithelial polyp. The differential diagnoses for stridor are extensive. Although uncommon, a fibroepithelial polyp should be considered.
CONCLUSIONS: We present a rare case of a fibroepithelial polyp causing stridor and imminent airway obstruction. We recommend the use of SponTaneous Respiration using IntraVEnous anaesthesia and High-flow nasal oxygen (STRIVE Hi) for general anaesthesia and resection of pharyngeal polyps.
Keywords: Adult, Glottis, Neoplasms, Fibroepithelial, Polyps