本文分析100例耳部癌曾进行颞骨切除术者,均已进行5年存活随访。手术方法各例稍有不同,手术范围主要包括乳突、颞骨岩部及鳞部、颞领关节、颧骨底部及所附着软组织的次切除。患耳的面神经及听力均已破坏。术前采用放疗,有些病人术前、术后均用放疗。术后并发症较多,但采用低血压药物、高速气钻及妥善覆盖缺损部之后,其死亡率已从1954年的10％降到近年的5％。总的5年治愈率为27％,鳞癌的治愈率为25％。 This article analyzed 100 cases of ear cancer who had undergone patella resection. All of them had been followed up for 5 years. Surgical methods are slightly different in each case, the scope of the operation mainly includes the mastoid, humeral bone and scaly, zygomatic collar joints, the bottom of the sacrum and the subcutaneous removal of the attached soft tissue. The ear nerves and hearing are destroyed. Radiotherapy was used preoperatively. Some patients received radiotherapy before and after surgery. Although there are many postoperative complications, the mortality rate has dropped from 10% in 1954 to 5% in recent years after the use of hypotensive drugs, high-speed pneumatic drills, and proper coverage of the defect. The total 5-year cure rate was 27%, and the cure rate for squamous cell carcinoma was 25%.