A 22-year-old woman presented with 6-8 weeks of dysphagia. She also reported a choking sensation while eating food and brushing her teeth. She had a known history of uvular elongation, without change in size, for several years. She also complained of globus sensation, frequent throat clearing, dry cough, excess mucus, and heartburn. Examination revealed a pedicled lesion, approximately 1.5 cm in length, extending from the inferior tip of her uvula (Figure 1(a)).
The lesion was completely excised from its connection to the uvula under general anesthesia with electrocautery (Figures 1(b) and 1(c)). Pathology revealed characteristic findings of a squamous papilloma, including multiple squamous lined papillary fronds containing fibrovascular cores (Figures 2(a) and 2(b)). The patient's postoperative course was unremarkable. Although she remains now on pharmacologic treatment for acid reflux, she reported complete resolution of all symptoms.