Abstract
Primary mucoepidermoid carcinoma of the middle ear is a rare malignancy. We report a case of 58-year-old woman who presented with purulent discharge from the left ear for seven months, followed by bloody otorrhea for one month. She was diagnosed with mucoepidermoid carcinoma of the middle ear after mastoidectomy. Then, she received x-ray radiation therapy (total dose: 3,000 cGy). However, nine months later, she underwent a comprehensive surgical intervention, including subtotal temporal bone resection, partial parotidectomy, and neck dissection, due to local tumor recurrence. The patient succumbed to tumor recurrence two years after the second surgery.