bilateral inflammatory aural polyps a manifestation of samters triad双边炎症耳息肉samter的三合会的表现.pdfVIP

Hindawi Publishing Corporation International Journal of Otolaryngology Volume 2009, Article ID 464958, 3 pages doi:10.1155/2009/464958 Case Report Bilateral Inflammatory Aural Polyps: A Manifestation of Samter’s Triad Robert Brobst, Nichole Suss, Stephanie Joe, and Miriam Saadia-Redleaf Department of Otolaryngology-Head and Neck Surgery, University of Illinois at Chicago, Chicago, IL 60612, USA Correspondence should be addressed to Nichole Suss, nsuss@ Received 25 June 2009; Accepted 9 November 2009 Recommended by Leonard P. Rybak 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. Copyright © 2009 Robert Brobst et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. 1. Introduction vertigo. Typically, polyps are unilateral, protruding through