High Risk Cutaneous Squamous Cell Carcinomas of the Pinna with Dissemination to the Temporal Bone Contemporary Oncological Management

Background: Temporal Bone Malignancies (TBMs) are a rare but distinct set of neoplasms with a multifactorial etiology. Case Presentation: We report a case of a present a case of 62 year old male with high risk squamous cell carcinoma of the pinna which despite primary surgery and adjuvant radiation disseminated into the temporal bone requiring combined salvage surgery. Discussion: The Etiology, symptoms, staging system and surgical procedure of TBMs are discussed along with a detailed review of the three-team approach involving a neuro-otology surgeon, head and neck oncologic surgeon and plastic surgeon, are discussed in approaching surgery of TBMs. Conclusion: In our center a multidisciplinary approach including a neuro-otology surgeon, head and neck oncologic surgeon and plastic surgeon are essential for surgical salvage resection and reconstruction of TBMs.