1996 Volume 42 Issue 3 Pages 209-216
A patient was diagnosed as having a cholesteatoma of the middle ear and thus underwent the surgery of middle ear. However, swelling was found in the posterior wall of the external auditory canal instead of the cholesteatoma at operation, which was later demonstrated to be adenoid cystic carcinoma after a pathological examination. We immediately performed a radical operation of the middle ear. However, the tumor was found to recur and invade both the middle cranial fossa and pyramid bone based on the CT and MRI findings 6 months later. As a result, the patient underwent a successful subtotal resection of the temporal bone. Our procedure for this operation is herein described in detail.