Fibroepithelial Polyp of Nasal Vestibule

Fibroepithelial polyps (FEPs), also known as acrochordons, are common benign cutaneous lesions that are exceedingly rare within the sinonasal cavity. The aim of this report is to describe a rare case of a nasal FEP to emphasize its inclusion in the differential diagnosis of vestibular lesions and to underscore the important role of histopathological evaluation in ensuring diagnostic certainty and appropriate management. We describe the case of a 21-year-old male who presented with a persistent, painless, pedunculated mass in the left nasal vestibule. The lesion was managed with complete surgical excision. Histopathological evaluation revealed a vascularized fibrous core with an overlying hyperkeratotic epidermis, confirming the diagnosis of an FEP. At the 3-year postoperative follow-up, there was no evidence of local recurrence. While nasal FEPs are uncommon, they should be considered in the differential diagnosis of unilateral nasal vestibular masses. Surgical excision is both diagnostic and curative with an excellent prognosis.