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Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
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A female diabetic having severe ear pain and granulation tissue in external ear with Facial palsy is due to:
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The correct answer is  Malignant otitis externa - can cause destruction of tissues of canal, pre and post auricular region by various enzymes like lecithinase and hemolysis. Infection can spread to skull base and jugular foramen causing multiple cranial nerve palsies in which most common is facial nerve palsy.