Clinical presentations Ear discharge with blood Otalgia and headache Hearing loss Facial paralysis Dysphagia Involvement of other cranial nerves Metastasis to associated lymphatic nodeClinical presentations ◼ Ear discharge with blood ◼ Otalgia and headache ◼ Hearing loss ◼ Facial paralysis ◼ Dysplagia ◼ Involvement of other cranial nerves ◼ Metastasis to associated lymphatic node