Left Chronic Otitis Media with Squamous Cell Carcinoma of the Middle Ear and Postauricular Mastoid Fistula: A Case Report

Authors

  • Shreedhar Prasad Acharya Kathmandu Medical College and Teaching Hospital, Kathmandu, Nepal.
  • Chetana Pathak Department of Ear, Nose and Throat, Kathmandu Medical College and Teaching Hospital, Kathmandu, Nepal.
  • Sandarva Giri Department of Ear, Nose and Throat, Kathmandu Medical College and Teaching Hospital, Kathmandu, Nepal.
  • Meera Bista Department of Ear, Nose and Throat, Kathmandu Medical College and Teaching Hospital, Kathmandu, Nepal.
  • Deependra Mandal Kathmandu Medical College and Teaching Hospital, Kathmandu, Nepal.

DOI:

https://doi.org/10.31729/jnma.4954

Keywords:

fistula, mastoid, middle ear, squamous cell carcinoma

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.

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Published

2020-05-30

How to Cite

Acharya, S. P., Pathak, C. . ., Giri, S. ., Bista, M., & Mandal, D. (2020). Left Chronic Otitis Media with Squamous Cell Carcinoma of the Middle Ear and Postauricular Mastoid Fistula: A Case Report. Journal of Nepal Medical Association, 58(225), 341–344. https://doi.org/10.31729/jnma.4954

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