<prompt> This patient presented with hearing loss and left ear fullness. What is the diagnosis?CholesteatomaFracture of the temporal boneOchronosisOtomycosis  <response>: Answer FB. racture of the temporal boneThe patient has a left post-auricular ecchymosis, or Battles sign, which can suggest underlying trauma to the temporal bone, as in this case. The patient had been intoxicated and recalled no trauma. Other signs of skull fracture include raccoon eyes when trauma involves the frontal bones of the skull. 