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

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.