Lateral Temporal Bone Resection in a Case of Squamous Cell Carcinoma Temporal Bone: Reconstruction and Surgical Outcomes

Abstract

Squamous cell carcinoma (SCC) of the temporal bone is a rare malignancy of a complex, intricate anatomical system. These tumors are locally aggressive due to the multiple invasion routes within the region, involving anatomical foramina and neurovascular structures. The current treatment paradigm often involves lateral temporal bone resection to achieve tumor-free margins, typically combined with superficial or total parotidectomy. Early-stage disease may be managed with or without adjuvant radiotherapy, depending on factors such as tumor stage and histopathologic features. The rarity of SCC in this location makes optimal management strategies critical, with local control and esthetic outcomes being key goals of therapy. In this case report, we discuss the surgical management and reconstruction of a patient with high-risk SCC of the left temporal bone, now disease-free for 18 months. He shows satisfactory esthetic outcomes with no facial nerve palsy or locoregional recurrence.