eosinophilic otitis media
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Epidemiology
- rare[1]
Pathology
- incisional biopsy
- polypoid proliferation of granulation tissue with mixed inflammatory infiltrate consisting predominantly of eosinophils (histopathology image)[1]
History
- history of asthma
- recurrent sinus disease with nasal polyps
- aspirin sensitivity (case report)[1]
Clinical manifestations
- intermittent otorrhea
- progressive bilateral hearing loss
- bilateral polypoid masses in the external auditaory canals protruding through tympanic membrane
- viscous otorrhea noted on examination[1]
Laboratory
- complete blood count: eosinophila (1200/uL)[1]
Diagnostic procedures
Management
- topical & systemic glucocorticoids
- tympanoplasty, resection of polypoid masses
- placement of bone-anchored hearing aid[1]
Prognosis
- recurrence in 4 months (case report)[1]
More general terms
References
- ↑ Jump up to: 1.0 1.1 1.2 1.3 1.4 1.5 1.6 1.7 1.8 Sanchez HL, Vallejo LA (images) Eosinophilic Otitis Media N Engl J Med 2017; 376:e10February 16, 2017 <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/28199806 <Internet> http://www.nejm.org/doi/full/10.1056/NEJMicm1510852