question: Hello doctor, I am a 40-year-old male. I have perforated right ear for the past 20 years and get discharges on various occasions and treated every time. But I have no discharges for the last three years. As a routine checkup, I am asked for a CT scan and the findings are as follows:  1) Right -sided mastoid air cells are partially sclerosed with reduction pneumatization, however, no collection is seen at present in mastoid air cell or middle ear cavity. 2) Right maxillary small retention cyst. 3) Mild DNS with nasal septal spur. I have no problem in the ear except a tension (pull) in nerves (veins) around the right ear while moving my head to and fro. I am currently taking antibiotics and Montelukast. My lab report shows WBC 9600 / cu mm, Neutrophils 74%, lymphocytes 18%, monocytes 01%, eosinophils 07%, basophils 00%, ESR first hour 06 mm.