Otic polyp

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An overview of otic polyps, their causes, symptoms, and treatment


Otic polyp

An otic polyp is a non-cancerous growth that occurs in the ear canal. These polyps are often associated with chronic otitis media or otitis externa, and they can cause symptoms such as hearing loss, ear pain, and ear discharge.

File:Ear Otic Polyp H&E LDRT.tif
Histological image of an otic polyp stained with H&E.

Causes

Otic polyps are typically caused by chronic inflammation in the ear. This inflammation can result from repeated infections, such as chronic otitis media, or from persistent irritation due to foreign bodies or allergies. The inflammation leads to the proliferation of the mucosal lining, forming a polyp.

Symptoms

The symptoms of an otic polyp can vary depending on its size and location. Common symptoms include:

  • Hearing loss: The polyp can obstruct the ear canal, leading to conductive hearing loss.
  • Ear pain: Inflammation and pressure from the polyp can cause discomfort or pain.
  • Ear discharge: A polyp can lead to the production of pus or other fluids, resulting in discharge from the ear.
  • Tinnitus: Some patients may experience ringing or buzzing in the ear.

Diagnosis

Diagnosis of an otic polyp is typically made through otoscopy, where a healthcare provider examines the ear canal with an otoscope. Additional imaging, such as a CT scan or MRI, may be used to assess the extent of the polyp and any underlying conditions.

Treatment

Treatment for otic polyps often involves addressing the underlying cause of inflammation. This may include:

  • Antibiotics: To treat any bacterial infections present.
  • Corticosteroids: To reduce inflammation and shrink the polyp.
  • Surgery: In some cases, surgical removal of the polyp may be necessary, especially if it is causing significant symptoms or complications.

Prognosis

The prognosis for patients with otic polyps is generally good, especially if the underlying cause of inflammation is effectively managed. However, recurrence is possible if the underlying condition is not adequately treated.

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Contributors: Prab R. Tumpati, MD