Surgical treatment is often used. Subtotal temporal bone resection should be selected for surgery. The anterior lobe of parotid gland or all parotid glands should be removed at the same time according to the invasion scope of the lesion, as well as neck lymph node dissection. After complete resection, radiotherapy should be assisted after surgery. Middle ear cancer can originate from the middle ear, or the external auditory canal and auricle. Malignant tumors from the parotid gland, nasopharynx, and skull base can also invade the middle ear. 80% of patients have a history of chronic otitis media, which mostly occurs in 40-60 years old. Squamous cell carcinoma is the most common, followed by adenoid cystic carcinoma, including malignant transformation of papilloma, sarcoma, and other rare pathological types.