title: Otopolyposis With Middle Ear Allergic Mucin in a Patient With Allergic Fungal Rhinosinusitis.
abstract: OBJECTIVE
  The purpose of this study is to report a case of otopolyposis and middle ear allergic mucin in a patient with allergic fungal rhinosinusitis (AFRS) and no history of middle ear disease and introduce these as possible otologic manifestations of the AFRS.
  
  
  METHODS
  A case of a 31-year-old female with the aforementioned findings is reported. A review of the pertinent literature was performed.
  
  
  RESULTS
  We report a case of a 31-year-old female with a history of AFRS but no history of middle ear disease or hearing loss who presented to our institution complaining of aural fullness. Physical exam was significant for middle ear masses of unknown etiology. Surgical exploration revealed the presence of allergic mucin and middle ear polyposis histologically identical to tissue sampled during prior sinonasal surgeries at the same institution. Aspiration of the middle ear space did not resolve the otologic symptoms.
  
  
  CONCLUSIONS
  Otopolyposis and middle ear allergic mucin are extremely rare but possible otologic manifestations of AFRS. We encourage otolaryngologists to consider this in the clinical differential diagnosis of patients with a history of AFRS with new onset otologic symptoms.
authors.affiliation: Emory University School of Medicine, Atlanta, Georgia, USA.
authors.forename: Manvinder S
authors.initials: MS
authors.lastname: Kumar
authors.affiliation: Department of Otolaryngology-Head & Neck Surgery, Emory University School of Medicine, Atlanta, Georgia, USA.
authors.forename: Nicholas J
authors.initials: NJ
authors.lastname: Panella
authors.affiliation: Department of Pathology & Laboratory Medicine, Emory University School of Medicine, Atlanta, Georgia, USA.
authors.forename: Kelly R
authors.initials: KR
authors.lastname: Magliocca
authors.affiliation: Department of Otolaryngology-Head & Neck Surgery, Emory University School of Medicine, Atlanta, Georgia, USA evivas@emory.edu.
authors.forename: Esther X
authors.initials: EX
authors.lastname: Vivas
mesh_terms: D000328:Adult; D004427:Ear Diseases / Q000150:complications / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery; D004432:Ear, Middle / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery; D005260:Female; D006801:Humans; D009077:Mucins; D009093:Mucus / Q000000981:diagnostic imaging*; D009181:Mycoses / Q000150:complications / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery; D011127:Polyps / Q000150:complications / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery; D065631:Rhinitis, Allergic / Q000150:complications*; D012852:Sinusitis / Q000150:complications*
chemical_list: D009077:Mucins
keywords: allergic fungal rhinosinusitis; allergic mucin; otitis; polyposis