<prompt> A man presented with complaints of scanty, foul smelling, painless discharge from the ear. It is characteristic feature of the following lesion:ASOMCholesteatomaCentral perforationOtitis externa  <response>: Patients with acquired cholesteatomas typically present with recurrent or persistent purulent otorrhea and hearing loss. The discharge is scanty always foul-smelling due to bone destruction. Facial nerve twitching, palsy, or paralysis can also result from the inflammatory process or from mechanical compression of the nerve. Ref: Chang C. 2012. Chapter 50. Cholesteatoma. In A.K. Lalwani Ed, CURRENT Diagnosis Treatment in Otolaryngology--Head Neck Surgery, 3e. 