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Polyps, grommets and eosinophilic granulomatosis with polyangiitis

  • F G Kavanagh (a1), W Hasan (a1), D A Smyth (a2) and J E Fenton (a1) (a3)
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.

Copyright
Corresponding author
Address for correspondence: Dr Fergal Kavanagh, Department of Otolaryngology, Head and Neck Surgery, University Hospital, Newcastle Road, Galway, Ireland E-mail: fergalkavanagh@rcsi.ie
Footnotes
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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.

Footnotes
References
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The Journal of Laryngology & Otology
  • ISSN: 0022-2151
  • EISSN: 1748-5460
  • URL: /core/journals/journal-of-laryngology-and-otology
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