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October 1966

Malignant Ear Polyps in Children

Author Affiliations

From the Ohio State University and Children's Hospitals, Columbus, Ohio.

Arch Otolaryngol. 1966;84(4):416-417. doi:10.1001/archotol.1966.00760030418008

BOTRYOID (polypoid) rhabdomyosarcoma of the middle ear, a rare tumor occurring mainly in children, runs a vicious course. Surprisingly, it has appeared as ear polyps in most of the reported cases.

Because aural polyps in children are usually associated with chronic infection, malignancy often is not considered at the first examination. Of course when there is facial paralysis, bleeding, or pain, the possibility of malignancy becomes more clear-cut. In all instances, earlier diagnosis is essential if there is to be any chance at all of a cure.

Report of a Case  A 2-year-old white boy was seen because of a sudden weakness on the left side of the face. The left tympanic membrane was dusky red and bulging, and when myringotomy was done the facial weakness decreased. The myringotomy allowed middle ear polyps to protrude through the tympanic membrane and fill the canal.Roentgenograms of the mastoid and chest