Otorrhea in preschool children is most often infective and benign in nature. Temporal bone
tumours presenting with persistent otorrhea often have associated features such as raised
intracranial pressure, temporal bone swelling and facial nerve palsy. We describe an infant
with temporal bone Ewing sarcoma presenting with isolated chronic otorrhea and review
the clinical features of the four commonest paediatric temporal bone tumours over the last
50 years.