A STUDY ON CLINICOPATHOLOGICAL PROFILE OF AURAL POLYPS

Abstract

Background: This study was conducted to investigate the clinicopathological characteristics of aural polyps and identify the various aetiological variables that contribute to their development.

Methods: This observational study involved 72 patients with aural polyps in the out-patient department of otorhinolaryngology at Govt. T.D. Medical College Alappuzha. It was conducted over a period of 18 months, from January 2019 to December 2021. The study was approved by the institutional ethics committee, and participant's written informed consent was obtained.

Results: The mean age of the 72 study participants was 41.04, with a standard deviation of 12.753. The age range of 41 to 50 accounted for the majority of aural polyps. Males dominated the study population. In the group under investigation, otalgia was the most prevalent symptom. Otorrhea  and  ear block sensation came next. Vertigo was the ear symptom least reported. The majority of aural polyps were discovered in the right ear, came from the external ear, were localized in the anterosuperior quadrant of the canal, and produced < 50% blockage of the external auditory meatus. The majority had smooth surfaces and did not bleed when probed. Inflammatory polyps were the most common histological diagnosis, followed by keratosis, melanocytic naevus, cholesteatoma, and cholesterol granuloma. There is a single instance of hemangiopericytoma in the temporal bone, a giant cell tumor of the temporal bone, and glomus tympanicum. Each of our two cases had a histology report indicating tuberculous granuloma and CG.

Conclusion: Every lesion was subjected to biopsy and pathological analysis. Granulation tissue was the most commonly found histological diagnosis. Histopathology is still a key component in the evaluation of aural polyps. Raising awareness and facilitating early diagnosis will reduce morbidity and death.