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Cancer of middle ear Chunfu Dai M.D & Ph.D Background Primary tumor in middle cavity Predilection in 40-60 y Dominated by squamous carcinoma Associated with chronic otitis media Clinical presentations Ear discharge with blood Otalgia and headache Hearing loss Facial paralysis Dysplagia Involvement of other cranial nerves Metastasis to associated lymphatic node Diagnosis Clinical demonstrations Physical examination Neoplasm in middle ear Hemorrhage CT, MRI: to determine the extension of mass Biopsy: to make histological diagnosis Genernal examination: to exclude remote metastasis Intervention Comprehensive therapy Radiotherapy+surgery+chemotherapy Surgery Partial temporal bone resection Subtotal temporal bone resection Temporal bone resection Basilar carcinoma: surgery, no extra radiotherapy Rabraddmone carcinoma: chemotherapy+radiotherapy+surgery