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Nasopharyngeal Polyp in a Patient With Submucous Cleft Palate

Encountering a nasopharyngeal polyp in a patient with submucous cleft palate (SMCP) is a difficult problem, as the lesion could support the weak palate. Removal of this lesion may unmask the SMCP with consequent worsening of speech nasality. Nasal septal polyp protruding to the nasopharynx in a pati...

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Autores principales: Abdel-Aziz, Mosaad, Abdel-Fattah, Gamal, Abdel-Aziz, Nada M
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8169090/
https://www.ncbi.nlm.nih.gov/pubmed/34094749
http://dx.doi.org/10.7759/cureus.14787
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author Abdel-Aziz, Mosaad
Abdel-Fattah, Gamal
Abdel-Aziz, Nada M
author_facet Abdel-Aziz, Mosaad
Abdel-Fattah, Gamal
Abdel-Aziz, Nada M
author_sort Abdel-Aziz, Mosaad
collection PubMed
description Encountering a nasopharyngeal polyp in a patient with submucous cleft palate (SMCP) is a difficult problem, as the lesion could support the weak palate. Removal of this lesion may unmask the SMCP with consequent worsening of speech nasality. Nasal septal polyp protruding to the nasopharynx in a patient with SMCP has not been reported before in the literature. This report describes a septal polyp arising from the posterior border of the nasal septum and protruding in the nasopharynx in a 16-year-old girl with submucous cleft palate. The polyp appeared to support the weak palate, and they acted as a ball and socket during speech articulation. Removal of this polyp may result in velopharyngeal insufficiency. Trans-nasal endoscopic removal of the polyp with obturation of the velopharyngeal port with a superiorly-based pharyngeal flap was performed in the same sitting. Pre- and postoperative speech evaluation using auditory perceptual assessment and nasometry revealed no worsening of nasality, also the patient reported improvement of her nasal breathing. We concluded that, the presence of a nasopharyngeal polyp in a patient with SMCP may compensate the speech problem. Removal of the polyp and treatment of SMCP by a pharyngeal flap in one-sitting is an effective procedure without adverse effect on patient’s speech.
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spelling pubmed-81690902021-06-04 Nasopharyngeal Polyp in a Patient With Submucous Cleft Palate Abdel-Aziz, Mosaad Abdel-Fattah, Gamal Abdel-Aziz, Nada M Cureus Otolaryngology Encountering a nasopharyngeal polyp in a patient with submucous cleft palate (SMCP) is a difficult problem, as the lesion could support the weak palate. Removal of this lesion may unmask the SMCP with consequent worsening of speech nasality. Nasal septal polyp protruding to the nasopharynx in a patient with SMCP has not been reported before in the literature. This report describes a septal polyp arising from the posterior border of the nasal septum and protruding in the nasopharynx in a 16-year-old girl with submucous cleft palate. The polyp appeared to support the weak palate, and they acted as a ball and socket during speech articulation. Removal of this polyp may result in velopharyngeal insufficiency. Trans-nasal endoscopic removal of the polyp with obturation of the velopharyngeal port with a superiorly-based pharyngeal flap was performed in the same sitting. Pre- and postoperative speech evaluation using auditory perceptual assessment and nasometry revealed no worsening of nasality, also the patient reported improvement of her nasal breathing. We concluded that, the presence of a nasopharyngeal polyp in a patient with SMCP may compensate the speech problem. Removal of the polyp and treatment of SMCP by a pharyngeal flap in one-sitting is an effective procedure without adverse effect on patient’s speech. Cureus 2021-05-01 /pmc/articles/PMC8169090/ /pubmed/34094749 http://dx.doi.org/10.7759/cureus.14787 Text en Copyright © 2021, Abdel-Aziz et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Otolaryngology
Abdel-Aziz, Mosaad
Abdel-Fattah, Gamal
Abdel-Aziz, Nada M
Nasopharyngeal Polyp in a Patient With Submucous Cleft Palate
title Nasopharyngeal Polyp in a Patient With Submucous Cleft Palate
title_full Nasopharyngeal Polyp in a Patient With Submucous Cleft Palate
title_fullStr Nasopharyngeal Polyp in a Patient With Submucous Cleft Palate
title_full_unstemmed Nasopharyngeal Polyp in a Patient With Submucous Cleft Palate
title_short Nasopharyngeal Polyp in a Patient With Submucous Cleft Palate
title_sort nasopharyngeal polyp in a patient with submucous cleft palate
topic Otolaryngology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8169090/
https://www.ncbi.nlm.nih.gov/pubmed/34094749
http://dx.doi.org/10.7759/cureus.14787
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