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Giant fibrovascular polyp of the hypopharynx: per-oral endoscopic removal

Published online by Cambridge University Press:  19 May 2011

S Ozdemir ,
O Gorgulu ,
T Selcuk ,
Y Akbas ,
C Sayar  and
H Sayar
S Ozdemir*
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, Cukurova University School of Medicine, Adana, Turkey
O Gorgulu
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, Adana Numune Education and Research Hospital, Adana, Turkey
T Selcuk
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, Adana Numune Education and Research Hospital, Adana, Turkey
Y Akbas
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, Adana Galeria ENT Hospital, Adana, Turkey
C Sayar
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, Adana Numune Education and Research Hospital, Adana, Turkey
H Sayar
Affiliation:
Department of Pathology, Adana Numune Education and Research Hospital, Adana, Turkey
*
Address for correspondence: Dr Suleyman Ozdemir, Department of Otolaryngology-Head and Neck Surgery, Cukurova University School of Medicine, Balcali, Adana 01100, Turkey Fax: +90 322 3386639 E-mail: drsozdemir@gmail.com
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Abstract

Objective:

We report an extremely rare case of giant fibrovascular polyp of the hypopharynx.

Method:

We present a 49-year-old man who had increasing difficulty swallowing, advanced respiratory distress and weight loss, as well as a hypopharyngeal mass protruding from his mouth.

Results:

Diagnosis was confirmed by endoscopic examination and computed tomography. A tracheostomy was required due to laryngeal obstruction by the regurgitated mass. The giant polyp was removed via per-oral endoscopic excision under general anaesthesia.

Conclusion:

Fibrovascular polyps occur most commonly in the cervical oesophagus, and are extremely rare in the hypopharynx. They can grow to a very large size over several years. We discuss the symptoms, diagnosis and surgical treatment techniques for upper aerodigestive tract fibrovascular polyps, in the light of the literature.

Keywords

Solitary Fibrous TumoursHypopharynxDysphagiaSurgery, EndoscopicDigestive System
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 125 , Issue 10 , October 2011 , pp. 1087 - 1090
Copyright
Copyright © JLO (1984) Limited 2011

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