Aural polyps in aspirin-exacerbated respiratory disease

Abstract

This case report discusses the unusual finding of aural polyps as a manifestation of aspirin-exacerbated respiratory disease (AERD). A 55-year-old patient with a history of AERD, persistent otorrhea, and mixed hearing loss was found to have bilateral aural polyps and tympanic membrane perforations. He was treated with steroid and antibiotic otic drops and aspirin desensitization, with plans for future aural polypectomy and bone anchored hearing aid due to persistent hearing loss. Several prior cases of aural polyps have been reported in association with AERD, with treatment ranging from otic drops and oral steroids to surgical intervention and aspirin desensitization. Aural polyps may be a more common manifestation of AERD than previously thought and may require surgical intervention despite maximal medical therapy.

Keywords

• Aural polyp
• AERD
• Aspirin
• Samter's triad
• Middle ear