title: Squamous cell carcinoma of the external auditory canal and middle ear results of treatment with subtotal temporal bone resection and postoperative radiotherapy.
abstract: Surgical treatment of carcinoma of the ear canal has evolved over the last half century. Several approaches are practiced. Primary radiotherapy is practiced in only a few centres. The small number of patients seen each year in a given centre, the lack of proper staging and the variability of treatment schedules used, make comparisons difficult. Twenty one cases of histologically proven squamous cell carcinoma of the ear canal seen over a period of 20 years were treated with subtotal temporal bone resection and postoperative external beam radiotherapy. Tumors were staged preoperatively according to the classification suggested by Stell. There were 9 Tl. 7 72 and 2 Ti tumors. Three patients had cervical lymph node melastases at presentation. The overall S year disease free survival was 42%. Quality of life as regards speech, swallowing, body image and social contacts was preserved.
authors.affiliation: Department of Head and Neck, Surgical Oncology. Reconstructive and Skull Base Surgery, Institute of Oncology, Bangalore.
authors.forename: Rammohan
authors.initials: R
authors.lastname: Tiwari
authors.forename: Jolijn
authors.initials: J
authors.lastname: Brouwer
authors.forename: Jasper
authors.initials: J
authors.lastname: Quak
authors.forename: Hilde
authors.initials: H
authors.lastname: Tobi
authors.forename: Henry
authors.initials: H
authors.lastname: Winters
authors.forename: Dinesh
authors.initials: D
authors.lastname: Mehta
keywords: Ear Canal Middle Ear Squamous Carcinoma Surgery Radiotherapy