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The Cause of Aural Polyps in Children
Richard E. Gliklich, MD;
Michael J. Cunningham, MD;
Roland D. Eavey, MD
Arch Otolaryngol Head Neck Surg. 1993;119(6):669-671.
Abstract
• 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)
Author Affiliations
From the Department of Otolaryngology, Massachusetts Eye and Ear Infirmary and the Department of Otology and Laryngology, Harvard Medical School, Boston, Mass.
Footnotes
Accepted for publication December 15, 1992.
Presented as a poster exhibit at the Sixth Annual Meeting of the American Society of Pediatric Otolaryngology, Waikoloa, Hawaii, May 9-11, 1991.
Reprint requests to Massachusetts Eye and Ear Infirmary, 243 Charles St, Boston, MA 02114 (Dr Cunningham).
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