No abstract

Lymphoma originating from the middle ear is rare. The diagnosis of lymphoma as with other cancers of the temporal bone is often made late, and this has a negative implication on the treatment and prognosis of the condition. The delay of diagnosis is mainly due to the similar presentation shared with other benign conditions of the middle ear. We present a case of a 62-year-old man who was treated as a case of chronic otitis media for a period of time before presenting with advanced symptoms; a final diagnosis of lymphoma of the middle ear was given. Other similar cases in the literature are discussed and reviewed. Severe and persistent symptoms of the middle ear should raise red flags and warrant detailed investigations.

Patients with recalcitrant forms of chronic rhinosinusitis (CRS) that do not respond to appropriate medical and surgical management, including but not limited to nasal topical steroids, nasal irrigations and endoscopic sinus surgery, present a diagnostic and therapeutic challenge to care providers. 1 These patients tend to suffer from persisting symptoms despite traditional approaches to therapy and often require expanded treatment options and multidisciplinary approaches to care. 1 In particular, patients with underlying conditions that are predisposing factors for the development of CRS require special attention. Among these underlying