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Bilateral Inflammatory Aural Polyps: A Manifestation of Samter's Triad

Author(s): Robert Brobst | Nichole Suss | Stephanie Joe | Miriam Saadia-Redleaf

Journal: International Journal of Otolaryngology
ISSN 1687-9201

Volume: 2009;
Date: 2009;
Original page

We report an unusual case of bilateral inflammatory aural polyps in a patient with Samter's triad. This 52-year-old patient had a history of chronic rhinosinusitis with sinonasal polyps, asthma, and aspirin sensitivity, with progressive right-sided hearing loss, otorrhea, and aural fullness. She was found to have bilateral aural polyps, with the larger obstructing lesion on the right. A computed tomography supported these findings and revealed bilateral opacification of the middle ear cleft and mastoid air cells. An initial right tympanomastoidectomy was performed with the specimen histologically resembling a typical sinonasal polyp. We speculate that this patient's middle ear polyposis is secondary to the inflammatory changes of Samter's triad. This has not been described previously in the literature.

Tango Jona
Tangokurs Rapperswil-Jona

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