Primary tubercular mastoiditis in children.

Primary tubercular mastoiditis is a rare clinical entity. We report three cases of it and among those one was first case of silent tubercular in an infant and two presented with facial paralysis. Though the incidence of middle ear cleft involvement with tuberculosis is quite rare, early complications make it important for its early diagnosis. A high index of suspicion should be kept in mind even when classical symptoms and signs are not present and early initiation of antitubercular therapy can prevent the complications.