Main Article Content

Dr. Meenu Maria Babu
Dr. Santhi T
Dr. Shambhu Dev S


Aural Polyp, Granulation Tissue, Cholesteatoma, Keratosis Obturans, nflammatory Polyp


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.

Abstract 47 | pdf Downloads 29


1. Lollar KW, Parker CA, Liess BD, Wieberg J. Metastatic esophageal adenocarcinoma presenting as an external auditory canal mass. Otolaryngol - Head Neck Surg 2010;142(2):298–9.
2. Kalra VK. Aural polyp is not always due to chronic otitis media (COM): preoperative computed tomographic scan is good pointer for sinister lesions. Indian J Otolaryngol Head Neck Surg 2018;70(4):505-9.
3. Olajide GT, Erinomo OO, Olajide TA, Agboola MS, Adegbiji WA. Clinicopathological profile of aural polypoidal masses: a retrospective study of 41 cases. Glob J Otolaryngo 2019;20(3).
4. Garcia A, Ridge SE, Garcia JM, Cohen M, Lee DJ. New perspectives in office- based otoendoscopy and endoscopic ear surgery. Oper Tech Otolaryngol - Head Neck Surg 2021;32(2):68-78.
5. Watkinson J, Clarke R. Scott-Brown’s otorhinolaryngology head and neck surgery. 8th edn. CRC Press 2018.
6. Khan M, Quadri SQ, Kazmi A, Kwatra V, Ramachandran A, Gustin A, et al. A comprehensive review of skull base osteomyelitis: diagnostic and therapeutic challenges among various presentations. Asian J Neurosurg 2018;13(4):959.
7. Williams SR, Brightwell AP. Management of the inflammatory aural polyp. 1989;103(11):1040–2.
8. Park SY, Jung YH, Oh JH. Clinical characteristics of keratosis obturans and external auditory canal cholesteatoma. Otolaryngol - Head Neck Surg (United States) 2015;152(2):326-30.
9. Lim HJ, Kim YT, Choo OS, Park K, Park HY, Choung YH. Clinical and histological characteristics of melanocytic nevus in external auditory canals and auricles. Eur Arch Oto-Rhino-Laryngology 2013;270(12):3035-42.
10. Chen B, Lu H, Ren C, Hu X, Qi H, Gao Z. Excision of sebaceous cyst by intraoral approach. 2017;49(49):10-2.
11. Appannan VR, Daud MKM. Case Report Glomus tympanicum. Malay Fam Physician. 2018;13(1):45-8.