Presence of Two Separate Hairy Polyps with Meningothelial Elements in a 15-Month-Old Child

Hairy polyps are benign embryological tumors of the head and neck region that are derived from two germinal layers, the ectoderm and mesoderm. At an incidence of 1 : 40000, hairy polyps are considered rare growths. Presenting symptoms of hairy polyps can vary greatly depending on the size and locati...

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Main Authors: Ahmad Saeed A. Alghamdi, Nasser Almutairi, Ghassan Alokby
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:Case Reports in Otolaryngology
Online Access:http://dx.doi.org/10.1155/2021/1844244
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author Ahmad Saeed A. Alghamdi
Nasser Almutairi
Ghassan Alokby
author_facet Ahmad Saeed A. Alghamdi
Nasser Almutairi
Ghassan Alokby
author_sort Ahmad Saeed A. Alghamdi
collection DOAJ
description Hairy polyps are benign embryological tumors of the head and neck region that are derived from two germinal layers, the ectoderm and mesoderm. At an incidence of 1 : 40000, hairy polyps are considered rare growths. Presenting symptoms of hairy polyps can vary greatly depending on the size and location of the tumor. To the best of our knowledge, our reported case is the first in the literature to highlight an extremely rare occurrence of two separate hairy polyps being simultaneously present in one patient, in the clivus and the nasion, with the presence of meningothelial cells within both tumors, histopathologically. With surgical resection as the management of choice, the approach of surgery differs greatly depending on many factors. Since the patient in our reported case had a cleft palate, we used a combined transnasal and transoral approach to fully release the clival mass and a direct skin incision for the nasion mass. Recurrence after complete surgical resection is rare, and if happens, it should rise suspicion of histopathologically misdiagnosed tumor. We amplified the importance of advanced radiological investigations along with proper multidisciplinary teamwork to exclude CNS connections and other histologically malignant tumors and to early pick up a possible simultaneous lesion.
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spelling doaj-art-b04f22f6e9ee41238dc7dd81cdadf5fb2025-08-20T03:20:50ZengWileyCase Reports in Otolaryngology2090-67652090-67732021-01-01202110.1155/2021/18442441844244Presence of Two Separate Hairy Polyps with Meningothelial Elements in a 15-Month-Old ChildAhmad Saeed A. Alghamdi0Nasser Almutairi1Ghassan Alokby2College of Medicine, Taif University, Taif, Saudi ArabiaDepartment of Otolaryngology—Head and Neck Surgery, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi ArabiaDepartment of Otolaryngology—Head and Neck Surgery, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi ArabiaHairy polyps are benign embryological tumors of the head and neck region that are derived from two germinal layers, the ectoderm and mesoderm. At an incidence of 1 : 40000, hairy polyps are considered rare growths. Presenting symptoms of hairy polyps can vary greatly depending on the size and location of the tumor. To the best of our knowledge, our reported case is the first in the literature to highlight an extremely rare occurrence of two separate hairy polyps being simultaneously present in one patient, in the clivus and the nasion, with the presence of meningothelial cells within both tumors, histopathologically. With surgical resection as the management of choice, the approach of surgery differs greatly depending on many factors. Since the patient in our reported case had a cleft palate, we used a combined transnasal and transoral approach to fully release the clival mass and a direct skin incision for the nasion mass. Recurrence after complete surgical resection is rare, and if happens, it should rise suspicion of histopathologically misdiagnosed tumor. We amplified the importance of advanced radiological investigations along with proper multidisciplinary teamwork to exclude CNS connections and other histologically malignant tumors and to early pick up a possible simultaneous lesion.http://dx.doi.org/10.1155/2021/1844244
spellingShingle Ahmad Saeed A. Alghamdi
Nasser Almutairi
Ghassan Alokby
Presence of Two Separate Hairy Polyps with Meningothelial Elements in a 15-Month-Old Child
Case Reports in Otolaryngology
title Presence of Two Separate Hairy Polyps with Meningothelial Elements in a 15-Month-Old Child
title_full Presence of Two Separate Hairy Polyps with Meningothelial Elements in a 15-Month-Old Child
title_fullStr Presence of Two Separate Hairy Polyps with Meningothelial Elements in a 15-Month-Old Child
title_full_unstemmed Presence of Two Separate Hairy Polyps with Meningothelial Elements in a 15-Month-Old Child
title_short Presence of Two Separate Hairy Polyps with Meningothelial Elements in a 15-Month-Old Child
title_sort presence of two separate hairy polyps with meningothelial elements in a 15 month old child
url http://dx.doi.org/10.1155/2021/1844244
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