I have a history of cholesteatoma in my rt ear with a mastoidectomy & an ear tube. i have been having problems with granulation tissue in my middle ear & now i have swelling inside my rt cheek near the jaw joint. can ear problems spread to the mouth?

Near to the Ear: Inflammation can certainly affect several local systems simultaneously. However, middle ear issues would not extend directly to the mouth as described. The parotid gland is a salivary gland in this region and often the culprit for many problems. Dry mouth can lead to salivary stones which are sediments that block the duct, and lead to swelling of the gland. If persistent, seek eval to be sure.