A 36‐year‐old with refractory otorrhea, otalgia, and facial palsy had HRCT bony erosion. Microsoft Copilot flagged malignancy; biopsy confirmed T1N0M0 squamous cell carcinoma. Curative resection achieved clear margins. Cranial nerve involvement demands biopsy regardless of age; AI aids but cannot replace clinical judgment.
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Summan et al. (2026) studied this question.
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