• Julina Ongkasuwan, C Lane Anzalone, Esperanza Salazar, and Donald T Donovan.
• Department of Otolaryngology-Head and Neck Surgery, Baylor College of Medicine, Houston, Texas, USA julinao@bcm.edu.
• Ann. Otol. Rhinol. Laryngol. 2017 Jan 1; 126 (1): 29-35.

ObjectiveFibrovascular polyps of the hypopharynx and esophagus are rare, with few case reports in the literature. In this article, we present our institutional experience with a focus on airway and surgical management.Study DesignCase series.SettingTertiary academic institution.MethodsA retrospective review was conducted of 4 patients that presented to a tertiary medical center with fibrovascular polyps between 1990 and 2012. Patient demographics, clinical presentation, diagnostic studies, and surgical approaches were reviewed. A review of the published literature was also performed.ResultsThe average age at presentation was 72 years (range, 59-85 years). Among the 4 patients, 2 presented with airway compromise requiring tracheotomy. All patients had removal of the polyp shortly after presentation; 2 underwent transcervical approaches with lateral pharyngotomy/esophagotomy, and the other 2 had endoscopic removal. The polyps arose from the hypopharynx in 3 patients and upper esophagus in 1. Three patients had complete resolution of their symptoms and remained disease free. One patient had recurrence of the polyp 2 years later and is currently being observed.ConclusionFibrovascular polyps are rare tumors of the hypopharynx/esophagus that present in older adults. Although benign, they can cause life-threatening airway compromise that may necessitate tracheotomy. We present 4 cases of fibrovascular polyps and discuss our evolving surgical management, including endoscopic removal.© The Author(s) 2016.

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