
Malignant squamous cell carcinoma of the ear
Definition:-
Malignant squamous cell carcinoma is a tumor of external auditory canal and middle ear.
About disease:-
-chronic suppurative otitis media and irradiation is the aetiology for malignant squamous cell carcinoma.
-malignant squamous cell carcinoma is a rare disease, affecting males more than females.
Symptoms:
- Discharge which is blood stained, foul smelling ,profuse.
- Deafness and tinnitus.
- Deep seated pain.
- Vertigo.
- Facial paralysis due to erosion.
Signs:
- Granulation and polypi.
- Skin ulceration and parotid affection.
- Last four cranial nerve palsies.
Investigations:
- X_ray and CT.
- Biopsy.
- Audiogram.
- Metastatic work up.
Treatment:-
A-Is mainly by surgical resection +postoperative radiotherapy + RND.
B-palliative radiotherapy.
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