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International Journal of Otolaryngology
Volume 2009, Article ID 464958, 3 pages
http://dx.doi.org/10.1155/2009/464958
Case Report

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

Department of Otolaryngology-Head and Neck Surgery, University of Illinois at Chicago, Chicago, IL 60612, USA

Received 25 June 2009; Accepted 9 November 2009

Academic Editor: Leonard P. Rybak

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.

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.