Pale Mass behind Intact Tympanic Membrane: An Otologic Puzzle to Solve

Whitish pale looking mass in the middle ear space is a diagnostic challenge not only to a novice otologic surgeon but also for an experienced surgeon. The array of differentials should be known for appropriate site of origin and its true nature. We have discussed a case of pale looking tympanic paraganglioma behind an intact tympanic membrane with few differentials to consider.