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JNMA J Nepal Med Assoc ; 58(225): 341-344, 2020 May 30.
Article in English | MEDLINE | ID: mdl-32538931

ABSTRACT

Though squamous cell carcinoma is the commonest tumor, it rarely presents in the middle ear and follows a history of chronic ear discharge. Postauricular mastoid fistula is also a rare complication of chronic otitis media. These two pathological changes occurring simultaneously are even rarer. We report a rare case of a 37 years old male with a history of left-sided chronic ear discharge and conductive hearing loss. Squamous cell carcinoma along with postauricular mastoid fistula was diagnosed based on high-resolution computed tomography scan and histopathology. Left modified radical mastoidectomy with tympanic membrane grafting was done under general anesthesia. Often middle ear tumor is associated with long-standing ear discharge and this case is a very good example. The co-occurrence of the middle ear tumor with mastoid fistula is extremely rare as both the entities are rare in itself.


Subject(s)
Carcinoma, Squamous Cell , Fistula , Otitis Media , Adult , Carcinoma, Squamous Cell/complications , Carcinoma, Squamous Cell/diagnosis , Carcinoma, Squamous Cell/surgery , Chronic Disease , Ear, Middle/pathology , Fistula/diagnosis , Fistula/etiology , Fistula/surgery , Humans , Male , Mastoid/diagnostic imaging , Mastoid/surgery , Otitis Media/complications
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