Two further attempts at cautery failed to give any benefit and the polyp started to grow to its pretreatment size and the discharge resumed. This reduced the size of the polyp and the discharge. The right ear, nose, throat, neck, and systemic examination were normal.Ī one-week course of amoxicillin clavulanate and topical antibiotic steroid drops was prescribed after cauterization with silver nitrate. The polyp looked smooth, nonulcerative, and nontender. The exact site of origin could not be established with a probe test. Otoscopy revealed a pinkish polyp completely filling the left ear canal and nonfoul smelling purulent discharge. There was no history of dermatitis or seborrhea. There was no preceding history of rhinitis. She denied any ear pain, giddiness, facial weakness, or other symptoms to suggest complications. She did not have any past history to suggest chronic suppurative otitis media. She is congenitally profoundly deaf with no intelligible speech. This will prevent unnecessary interventions.Ī 19-year-old female presented to our department with a history of persistent purulent discharge from the left ear of three-month duration associated with a reddish mass for two months. The present case report emphasizes the need to keep an underlying foreign body in mind when one encounters an aural polyp in clinical practice. Several large case series focusing on children found that 75 percent of patients with ear foreign bodies were younger than eight years while similar studies of adult patients are lacking.įoreign body presenting as a granuloma or polyp is rare and is found uncommonly in the literature. Patients with foreign body might present with a history of foreign body insertion, pain, hearing loss, or otorrhoea or as an incidental finding on clinical examination. The commonest causes of aural masses are inflammation, cholesteatoma, abscess, benign tumors such as osteomas, and malignant tumors like rhabdomyosarcoma and squamous cell carcinoma. Grossly, aural polyp is usually solitary, polypoidal with reddish surface, and often friable. Otalgia and bleeding or sensation of mass are far less common. The most common symptoms of an aural polyp are otorhhoea, diminished hearing, and a visible mass in the ear. It is an uncommon lesion, which usually affects young ages, with male to female ratio of 2 : 1. Aural polyp or otic polyp is a proliferation of granulation tissue with chronic inflammatory cells in response to a long standing inflammatory process.
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