Hairy polyps are rare developmental malformations. They are benign lesions presented as a pedunculated
mass that may arise from the naso-oropharyngeal region. Larger mass can cause upper respiratory
obstruction causing respiratory distress or feeding diffi culty, while smaller mass will present as
intermittent respiratory distress due to a ball-valve type of obstruction. They are commonly seen in
female, with ratio of 6:1 and majority of the cases occur in the infantile period. We are reporting a case
of hairy polyp in a female infant that causing intermittent respiratory distress.