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Case Reports
. 2009:2009:464958.
doi: 10.1155/2009/464958. Epub 2010 Feb 21.

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

Robert Brobst  1 , Nichole Suss, Stephanie Joe, Saadia Redleaf
Affiliations
Case Reports

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

Robert Brobst et al. Int J Otolaryngol. 2009.

Abstract

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.

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Figures

Figure 1
Figure 1
Axial computed tomographic scan demonstrates bilateral aural polyps with thickened sinonasal mucosa.
Figure 2
Figure 2
Low-power histopathology of the inflammatory otic polyp (a) with high-power (b) demonstration of eosinophils underlying surface pseudostratified columnar epithelium with cilia.
Figure 3
Figure 3
Bilateral pure tone audiogram post steroid infusion. Small X's and O's indicate pretreatment thresholds.
See this image and copyright information in PMC

References

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