HISTORY:
                   The patient is a 54 year old male with left sided mastoiditis, hearing loss, otorrhea and partial facial paralysis.  
                    
                   A left tympanoplasty and mastoidectomy was performed. 
                   
                   
                    
                 
						
                         
			             
                         
			              
                         
			             
			              
                         
	            
			           
                
                    
                 
                            What is the most likely diagnosis?
                            
                                - Paraganglioma
 
                                - Ceruminous adenoma
 
                                - Metastatic adenocarcinoma
 
                                - Middle ear adenoma
 
                               - Meningioma