a six year old male child, first reported on January 5, 1962, with a history of 1) right ear discharge for two years; 2) 15 days' inability to move the right side of the face; 3) a mass in the right external canal for past 15 days only.Following were the clinical and laboratory findings: The child was fairly well built and nourished. His systemic examination was essentially normal. The child had lower motor neuron facial paralysis on the right side of the face. There was no postauricular swelling or mastoid tenderness. A pedunculated polypoidal mass was seen in the external canal. Purulent discharge was seen in the right ear. The left ear showed a healed scar on the drum. X-ray of the mastoid (Fig. 2) showed right mastoid bone to be more sclerotic than the left. There was no area of destruction in the radiogram. Evidently the diagnosis of chronic mastoiditis with facial paralysis as a complication was accurate.The child was operated upon on January 10, 1962, a radical mastoidectomy being performed. The malleus and incus were absent.
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