54 years old female patient came with complaints of:
1. Pulsating noise in her right ear - 5 years
2. Hard of hearing right ear - 5 years
No history of trauma to the ear
No history of bleeding from the ear
Pt is not a known diabetic / hypertensive
Video otoscopic examination shows:
Pulsations coincide with the heart beat of the patient
All cranial nerves are intact in this patient.
These CT scan images show contrast enhancing soft tissrue lesion occupying the whole of the middle ear cavity. The same mass could be
seen extending on to fill the attic, aditus and mastoid cavity. Tegmen plate appears to be eroded.