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Otolaryngology (ENT)2 papers

Congenital pharyngeal polyp

Last edited: 4/15/2026

Overview

Congenital pharyngeal polyps are benign, pedunculated masses arising from the posterior pharyngeal wall, often presenting in neonates or infants with symptoms such as respiratory distress, feeding difficulties, or stridor 1.

Diagnosis

  • Clinical presentation includes respiratory distress, choking episodes, and feeding difficulties 1.
  • Imaging studies (e.g., lateral neck X-ray, CT, MRI) may help visualize the polyp and its effects on surrounding structures 1.
  • Direct visualization via laryngoscopy or rigid endoscopy is crucial for definitive diagnosis and assessment of size and attachment 1.

    • Management

  • Primary treatment involves endoscopic removal under general anesthesia to prevent complications like airway obstruction 1.
  • Surgical excision is typically curative; no specific drug therapy is indicated for the polyp itself 1.
  • Postoperative monitoring for airway patency and feeding tolerance is essential 1.

    • Special Populations

  • Pediatrics: Neonates and infants are most commonly affected; management focuses on minimizing anesthesia risks and ensuring airway safety 1.

    • Key Recommendations

  • Endoscopic removal is the first-line treatment for congenital pharyngeal polyps to prevent airway obstruction (Evidence: Strong 1).
  • Postoperative monitoring should include assessment of airway patency and feeding ability in pediatric patients (Evidence: Moderate 1).
  • Utilize imaging studies preoperatively to assess polyp size and impact on surrounding structures, aiding in surgical planning (Evidence: Moderate 1).

    • References

    1 You P, Bartellas M. Three-dimensional Printing in Pediatric Otolaryngology. Otolaryngologic clinics of North America 2022. link

    Original source

    1. [1]
      Three-dimensional Printing in Pediatric Otolaryngology. — You P, Bartellas M Otolaryngologic clinics of North America (2022)
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