Embryonal rhabdomyosarcoma of the middle ear he is still alive. On follow-up clinical and CT examinations, the patient had no sign of recurrent tumor. Case 2 A 33-year-old man presented with a I-year history of right-sided intermittent aural pain and facial paralysis, without complaints of otorrhea and decreased hearing. He was treated by antibiotic therapy with diminution of earache, but the facial asymmetry persisted. He thought that the facial paralysis was more severe in the presence of the earache. According to the House-Brackmann grading scale, I the patient's right-sided facial paralysis was grade III (moderate dysfunction). Shirmer's test revealed the diminution of tears from the right eye. Taste sensation on the right anterior two thirds of the tongue was decreased. The right EAC and tympanic membrane were normal, and there was only a little hyperemia in the deep skin of the EAC. Weber's test showed that sounds were heard louder in the right ear than in the left one. The patient's general condition was good. The audiogram revealed a mildly conductive hearing loss. The tympanometry was C I type, and acoustic stapedius reflex disappeared. The chest radiograph was normal. The CT scan revealed a small mass in the epitympanum and mastoid, wrapping the incudomalleolar articulation. The ossicles were untouched. There was almost no bone erosion except in the horizontal portion of the facial canal (Fig 18). The posterosuperior approach of exploratory tympanotomy was used. There was a small polypoid mass in the epitympanum, facial recess, and tympanic sinus. which was completely resected. The facial nerve canal was exposed in temporal bone, and the ossicular chain was reconstructed. The pathology report revealed embryonal rhabdomyosarcoma, and immunohistochemical results supported the diagnosis. The patient then received radiation and chemotherapy. He is known to have been alive without evidence of recurrence for 2 years.