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Polyps, grommets and eosinophilic granulomatosis with polyangiitis

Published online by Cambridge University Press:  09 January 2018

F G Kavanagh ,
W Hasan ,
D A Smyth  and
J E Fenton
F G Kavanagh*
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, University Hospital Limerick, Ireland
W Hasan
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, University Hospital Limerick, Ireland
D A Smyth
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, University Hospital Waterford, Ireland
J E Fenton
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, University Hospital Limerick, Ireland Graduate Entry Medical School, University of Limerick, Ireland
*
Address for correspondence: Dr Fergal Kavanagh, Department of Otolaryngology, Head and Neck Surgery, University Hospital, Newcastle Road, Galway, Ireland E-mail: fergalkavanagh@rcsi.ie
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Abstract

Objective:

To explore the link between nasal polyposis, refractory otitis media with effusion and eosinophilic granulomatosis with polyangiitis.

Methods:

A retrospective observational study was carried out of patients diagnosed with refractory otitis media with effusion necessitating grommet insertion and who had nasal polyps. Patients were evaluated to determine if they fulfilled the diagnostic criteria of eosinophilic granulomatosis with polyangiitis.

Results:

Sixteen patients (10 males and 6 females) were identified. The mean age of grommet insertion was 45.4 years. The mean number of grommets inserted per patient was 1.6. The mean number of nasal polypectomies was 1.7. All 16 patients had paranasal sinus abnormalities and otitis media with effusion, 14 had asthma, 9 had serological eosinophilia and 7 had extravascular eosinophilia. Nine patients met the diagnostic criteria for eosinophilic granulomatosis with polyangiitis.

Conclusion:

The co-presence of nasal polyps and resistant otitis media with effusion should raise the possibility of eosinophilic granulomatosis with polyangiitis.

Keywords

Middle Ear VentilationNasal PolypsAsthmaOtitis Media With EffusionRetrospective StudiesEosinophiliaOtitis MediaParanasal Sinuses
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 132 , Issue 3 , March 2018 , pp. 236 - 239
Copyright
Copyright © JLO (1984) Limited 2018 

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Footnotes

Presented orally at the 57th Irish Otorhinolaryngology/Head and Neck Surgery Society Annual Meeting, 14 October 2016, Lough Eske, Ireland, and at the 25th Congress of the European Rhinologic Society, 22–26 June 2014, Amsterdam, The Netherlands.

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