A 55-year-old male with known case of diabetes mellitus, hypertension, and end-stage renal disease presented to the emergency room with pain in the left ear, ear discharge, and headache for the past 8 months. The ear pain increased with a left facial weakness for the past 1 week. Medical History No other relevant significant history was documented. Physical examination Granulation tissue in the left ear canal, with mucoid discharge and edematous canal, were evident on ear examination.
Grade V left facial weakness as per house Brakman classification was clear from his face. Imaging diagnosis His CT scan and bone scans showed temporal bone involvement and increased radionuclide uptake.(images attached) Left canal wall down mastoidectomy and debridement of surrounding tissue were performed as the patient did not improve on conservative management. Surprisingly, a yellowish material with…
