Brobst Robert, Suss Nichole, Joe Stephanie, Redleaf Saadia
Department of Otolaryngology-Head and Neck Surgery, University of Illinois at Chicago, Chicago, IL 60612, USA.
Int J Otolaryngol. 2009;2009:464958. doi: 10.1155/2009/464958. Epub 2010 Feb 21.
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.
我们报告了一例患有Samter三联征患者出现双侧炎性耳息肉的罕见病例。这位52岁的患者有慢性鼻窦炎伴鼻息肉、哮喘和阿司匹林敏感史，伴有进行性右侧听力丧失、耳漏和耳闷。她被发现患有双侧耳息肉，右侧有较大的阻塞性病变。计算机断层扫描支持了这些发现，并显示中耳裂和乳突气房双侧混浊。最初进行了右侧鼓室乳突切除术，标本的组织学表现类似于典型的鼻息肉。我们推测该患者的中耳息肉病继发于Samter三联征的炎症变化。此前文献中尚未有过此类描述。
