目的 :提高临床对中耳癌的认识 ,做到及时诊断与治疗。方法 :2 0例均先行手术治疗 ,其中 14例采用扩大的乳突根治术 ,3例行侧颞骨切除术 ,3例行颞骨次全切除术 ;有颈淋巴结转移的 3例同时行根治性颈淋巴结廓清术。术后均辅以放疗。结果 :随访 5～ 13年 ,3、5年生存率分别为 5 5 .0 % (11/ 2 0 ) ,4 5 .0 % (9/ 2 0 )。结论 :中耳癌手术治疗应根据其侵及中耳乳突的范围 ,以及有助于放射治疗发挥作用而选择不同的术式 Objective: To improve the clinical understanding of middle ear cancer, timely diagnosis and treatment. Methods: Twenty cases were treated surgically. Among them, 14 cases were treated with enlarged mastoidectomy, 3 cases with lateral temporal bone resection and 3 cases with subtotal temporal bone resection. In 3 cases with cervical lymph node metastasis, Lymphadenectomy. After surgery are supplemented by radiotherapy. Results: The 5-year and 13-year follow-up rates were 55.0% (11/20) and 45.0% (9/20) respectively. CONCLUSIONS: Surgery of otorhinolaryngeal cancer should be based on its extent of invasion of the middle ear mastoid process, as well as help to play a role in radiation therapy and choose a different surgical