Sphenochoanal Polyp and Ossified Stylohyoid Ligament on Initial Airway Exam

A 46-year-old male with no medical history provided was referred for an initial airway exam. The radiologist identified a relatively large sphenochoanal polyp obstructing the right posterior nasal choana, a finding that requires surgical intervention to enable proper breathing and prevent further enlargement. The radiologist noted that while antrochoanal polyps are somewhat common, sphenochoanal polyps are more rare. Additionally, a thickened soft palate was noted, which increases risk for obstructive sleep apnea, along with near complete ossification of the right stylohyoid ligament, which may or may not be symptomatic and could be associated with Eagle syndrome.