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Samter's triad with aural involvement: a novel approach to management

Published online by Cambridge University Press:  24 November 2014

P Sethukumar ,
R Heywood  and
A Narula
P Sethukumar*
Affiliation:
Department of Otolaryngology, St. Mary's Hospital Paddington, Imperial College Healthcare NHS Trust, London, UK
R Heywood
Affiliation:
Department of Otolaryngology, St. Mary's Hospital Paddington, Imperial College Healthcare NHS Trust, London, UK
A Narula
Affiliation:
Department of Otolaryngology, St. Mary's Hospital Paddington, Imperial College Healthcare NHS Trust, London, UK
*
Address for correspondence: Miss P Sethukumar, Department of Otolaryngology, St. Mary's Hospital, Paddington, London W2 1NY, UK E-mail: [email protected]
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Abstract

Background:

Samter's triad is a well described condition manifesting as chronic rhinosinusitis with nasal polyposis, asthma and aspirin intolerance in a non-atopic individual. The underlying mechanism is still to be fully elucidated. However, aural disease has not been widely reported in these patients. In the few reported cases, most patients underwent major surgery with varying degrees of success.

Case report:

We report two Samter's triad patients with aural involvement. Both were successfully managed by conservative treatment, thus avoiding the need for major surgery. It appears that more Samter's triad patients may have aural disease than previously thought.

Conclusion:

We report good outcomes with conservative treatment, which is relevant because aural disease tends to reoccur in these patients.

Keywords

AspirinEar DiseasesNasal PolypsMastoid BonePostoperative Complications
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 128 , Issue 12 , December 2014 , pp. 1114 - 1116
Copyright
Copyright © JLO (1984) Limited 2014 

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