“…A number of causes should be considered ranging from benign lesions, such as osteomas or exostoses, canal cholesteatomas, fibrous dysplasias, schwannomas, neurofibromas, nerve sheath myxomas and giant cell granuloma, to skin malignancies, salivary neoplasms, and metastases. 1 To begin, squamous cell carcinoma (SCCA), the most common malignancy of the ear canal, is unlikely in a young (30-year-old) patient but should always be considered. SCCA tends to occur in older patients.…”