The methods to confirm the diagnosis of ear malignancy are as follows: 1. Medical history and clinical manifestations: the main symptoms include ear pain, ear pus, facial paralysis, hearing loss and vertigo. There are also other complications, such as difficulty in opening mouth and headache; 2. Physical examination: especially the specialist examination of otology, observe whether there is a protruding swelling, whether there is pus flowing, whether there is bleeding, conduct some auxiliary examinations, observe the hearing condition, whether there is vertigo and tinnitus, and observe whether there is dysfunction of facial nerve; 3. Auxiliary examinations: such as CT, MRI, can understand the scope size of malignant tumor and what adjacent tissues are involved; 4. The gold standard for confirming the diagnosis of malignant tumor is biopsy, which can determine whether the tumor is benign or malignant, which type of pathology belongs to which cell source and what kind of malignant tumor it is, and play a guiding role in future treatment.