호산구성 중이염을 동반한 알레르기성 진균성 부비동염 1예

Eosinophilic otitis media (EOM) is a middle ear disease with extremely viscous mucoid effusion containing numerous eosinophils associated with allergic rhinitis and bronchial asthma. EOM is extremely unresponsive to conventional treatment for the common type of otitis media. EOM patients have the deterioration of the bone conduction hearing level, due to the inflammatory mediators released from inflammatory cells could enter the inner ear. One of the most effective treatments for esoinophilic inflammation is the administration of a steroid. Although EOM is commonly associated with nasal polyps, their relation to allergic fungal sinusitis is not reported. Hence we report a case of EOM proceeded with allergic fungal sinusitis with a review of literature. (J Clinical Otolaryngol 2012;23:279–282)