Singh Abhijeet, Subash Anand, Kumari Neha, Virk Ramandeep Singh
Department of Otolaryngology Head and Neck Surgery, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
Department of Pathology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
Indian J Otolaryngol Head Neck Surg. 2022 Dec;74(Suppl 3):3687-3691. doi: 10.1007/s12070-020-02318-6. Epub 2021 Feb 8.
Allergic fungal otomastoiditis, a rare known entity has only been published as case reports in literature. There have been 3 cases of adult and 1 case of pediatric allergic fungal otomastoiditis reported as of now. A young male had unilateral otorrhea and hearing difficulty for four years. The audiogram revealed moderate conductive hearing loss and radiograph showed complete opacification of tympanic cavity. He underwent tympano-mastoidectomy, showing polypoidal granulations and thick mucoid discharge. The histopathology was a surprise diagnosis of Allergic fungal otomastoiditis. The clinical and histopathological appearance of this entity matches allergic fungal rhinosinusitis. After extensive review of literature, we propose a working criterion for early identification of allergic fungal otomastoiditis in otolaryngology setting.
变应性真菌性耳乳突炎是一种罕见的已知病症，在文献中仅作为病例报告发表。截至目前，已报道3例成人变应性真菌性耳乳突炎病例和1例儿童病例。一名年轻男性有四年的单侧耳漏和听力困难病史。听力图显示为中度传导性听力损失，X光片显示鼓室完全浑浊。他接受了鼓室乳突切除术，术中可见息肉样肉芽组织和浓稠的黏液性分泌物。组织病理学检查意外诊断为变应性真菌性耳乳突炎。该病症的临床和组织病理学表现与变应性真菌性鼻-鼻窦炎相符。在广泛查阅文献后，我们提出了在耳鼻喉科环境中早期识别变应性真菌性耳乳突炎的工作标准。
