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What will be the most likely diagnosis in a 70 year old male with hypo-aesthesia of external auditory meatus (Histelberg's sign positive)?

Mastoiditis

Bells palsy

Vestibular schwannoma

Middle ear cholesteatoma

High-Yield Explanation

Hitzelberg's sign refers to hypo-aesthesia of the posterosuperior aspect of the external meatus. It is due to involvement of nervus intermedius (sensory root of VIIth nerve).

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What will be the most likely diagnosis in a 70 year old male with hypo-aesthesia of external auditory meatus (Histelberg's sign positive)?

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