Hello
Swelling since 9 years so I guess you must have undergone some investigations.
According to your pic can't make out that it is physiological or pathological.
Does this swelling causing any symptoms??
Next Steps
Need to inquire more in your case so better to take ENT consultation for better understanding and treatment
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
Ear, Nose, Throat
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