Distribution of Associated Clinical Features Clinical Features % of Cases Deviated nasal septum 24 Pharyngotonsillitis 14 Sinusitis 11 Aural polyp
12 Adenoid hypertrophy 5 Table 6.
Clinical features include blood stained purulent ear discharge, impairment of hearing, earache, aural polyp
and granulations and, in advanced cases, neurologic symptoms (4).
Patient posted for mastoid exploration under local anesthesia, mastoid surgery was planned thinking that the case is chronic suppurative otitis media with aural polyp
Examination revealed a large aural polyp
occluding most of the tympanic membrane, and the suggestion of a mass behind the eardrum.
2) The differential diagnosis includes attic cholesteatoma with aural polyp
, glomus tumor, arteriovenous malformation, granulation tissue, and carcinoma of the EAC.
The provisional diagnosis was unsafe chronic suppurative otitis media (CSOM) with an aural polyp
and facial paralysis.