A 75-year old diabetic patient presents wain severe ear pain and granulation tissue at external auditory canal with facial nerve involvement. -The most likely diagnosis is:
Ans. a. Malignant otitis externa Presence of a painful lesion in the external ear with the evidence of granulation tissue and associated cranial nerve palsies (VII nerve) in a diabetic (or immunocompromised) patient suggest a diagnosis of malignant otitis externa
Malignant otitis externa
Nasopharyngeal carcinoma
Acute suppurative otitis media
Chronic suppurative otitis media