Middle Ear Aural Polyp Mimicking Glomus Tympanicum in a Male Adolescent

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The aural polyp is an inflammatory mass that typically presents within the external canal and/or middle ear. Aural polyps arise from a middle ear mucosa inflammatory response, most commonly chronic otitis media (COM) (1–3). However, studies have shown other inciting inflammatory events including retained tympanostomy tubes, cholesteatoma, and rarely Samter's triad (1,4). We present a unique case of a 15-year-old adolescent man who initially presented with a left middle ear mass, from what was presumed to be a glomus tympanicum from its benign presentation, however final pathology revealed an inflammatory polyp. Unique to this case was the negative history for COM and presentation without any obvious baseline or inciting inflammatory pathology that are otherwise synonymous with inflammatory polyps.

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