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Should nasopharyngeal biopsy be mandatory in adult unilateral glue ear?

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Should nasopharyngeal biopsy be mandatory in adult unilateral glue ear?

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Unilateral secretory otitis media is a recognized presenting feature of nasopharyngeal neoplasia. In the two cases presented, biopsy from the nasopharynx revealed an unsuspected underlying adenocarcinoma. The need to biopsy the normal looking post-nasal space is highlighted.

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