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Malignant neoplasms for the external auditory channel (EAC) are unusual. No consensus on administration has emerged. 108 patients (87 men/21 females) with a typical age 74 ± 13.8years were recruited from 2005 to 2019 at Department of Otorhinolaryngology, Head and Neck procedure Heidelberg. The follow-up period had been 43.62 ± 55.39months. Limited and (sub)total ablative otis, supplementary surgery (petrosectomy, parotidectomy, neck dissection, mastoidectomy) and a