When Removal is Required
Pharyngeal formations are often discovered by chance during examination, but as they grow, they cause a foreign body sensation, soreness, changes in the timbre of the voice, and difficulty swallowing. Removal is carried out through the mouth under local or general anesthesia, depending on the size and location. Histological examination is mandatory: it confirms the benign nature and determines the need for further observation.
Why is histology important?
Benign formations of the ENT organs - papillomas, polyps, cysts, fibromas, exostoses - are common and are usually recognizable in appearance. But it is impossible to distinguish them from a malignant process at an early stage by their appearance: this can only be done by a morphologist under a microscope.
Therefore, any removed lesion is sent for histological examination. This is not a formality, but the only way to be sure of the nature of the process and not to miss a disease that can be treated much more successfully at an early stage.
When should a formation be removed?
- it is growing or has changed appearance in recent months
- affects breathing, swallowing, hearing, or voice
- bleeds or gets injured
- causes a constant sensation of a foreign body
- the nature of the formation is unclear and histological verification is required
How does the intervention work?
Small formations of the outer ear and pharynx are removed under local anesthesia on an outpatient basis. Working in the larynx requires general anesthesia and endolaryngeal access with telescopes. The tissue is excised within healthy areas, bleeding is stopped by coagulation, and a suture is applied if necessary.