• This 20-year retrospective review identifies 35 pediatric patients with aural polyps in an attempt to assess for clinical predictors of significant otopathologic conditions. Chronic otitis media (43%), cholesteatoma (29%), and retained tympanostomy tubes (23%) were the common causes. Unusual causes included mycobacterial infection and Langerhans' cell histocytosis. Multivariate analysis revealed the co-occurrence of conductive hearing loss at presentation to be a significant clinical predictor (P=.03) of cholesteatoma; the histopathologic finding of keratin-induced giant cell reaction was nonspecific in this respect. Cholesteatoma was also prevalent in recurrent polyp cases, suggesting the need for prolonged follow-up in those children whose initial clinicopathologic evaluation does not yield a definitive diagnosis.
(Arch Otolaryngol Head Neck Surg. 1993;119:669-671)
Gliklich RE, Cunningham MJ, Eavey RD. The Cause of Aural Polyps in Children. Arch Otolaryngol Head Neck Surg. 1993;119(6):669–671. doi:10.1001/archotol.1993.01880180089016
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