To date, most research have been quantitative and survey based

A polyp could conceal chronic otitis media with a central perforation, a cholesteatoma granular or necrotizing external otitis, or a planocellular carcinoma of the ear canal. Therefore, the first step is to look for clues by obtaining a good history.The next steps are to obtain a sample of the granulation polyp for culture and to clean the ear canal. I use a 3% silver nitrate solution to reduce the size of the granulation tissue.

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