A 35-year-old female present with a sudden attack of bleeding from her right ear (otorrhagia). An ENT specialist packed the ear and after removal of the pack found an aural polyp. The patient also complained of pulsatile tinnitus in the right ear of 2 years duration and a change in her voice of 2 months duration. On laryngeal examination there was right vocal fold paralysis, the vocal fold was found in the abduction position.

No lymph node enlargement was found in the neck. What can be the diagnosis for this patient? *This case is from Docplexus editorial team for educative purpose only Source: Cases in ENT