In a histological point of view there is in the first line the squamous cell carcinoma. Mostly a chronic otitis media is important for the genesis. Because of the hidden place of the tumor there are usually late stages to be observed. The success of therapy therefore is not all convincing as are about 25% 5-year-survival-rate. The mono-bloc-resection of the temporal bone turns out to be more and more important. As this operation involves high risks, the partial resektion of the temporal is still used. Radio-therapy before or after the operation is widely contested in its value, although there are statistically ensured results. Sole radio-therapy is only convincing with very tiny tumors, in other cases it is only palliative. Because of the histological structure of the squamous cell carcinoma the results of chemotherapy cannot be better.