Publication: Left Chronic Otitis Media with Squamous Cell Carcinoma of the Middle Ear and Postauricular Mastoid Fistula: A Case Report
Date
2020
Article Type
Case Report
Journal Title
Journal ISSN
JNMA Print ISSN: 0028-2715; Online ISSN: 1815-672X
Volume Title
Pages
Pages: 341 - 344
Publisher
Nepal Medical Association
Abstract
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.
Keywords: fistula, mastoid, middle ear, squamous cell carcinoma
Description
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
Keywords
fistula, mastoid, middle ear, squamous cell carcinoma
Identifier
https://doi.org/10.31729/jnma.4954