The medical and surgical records of 15 patients with primary squamous cell carcinoma of the temporal bone treated at the Johns Hopkins Hospital from January 1, 1986, through December 31, 1998, were reviewed. The hospital surgical pathology databank was searched to identify patients with a diagnosis of carcinoma of the temporal bone. To be included in the study, patients had to (1) have primary squamous cell carcinoma originating within the temporal bone, and (2) have undergone computed tomographic (CT) imaging and primary surgical resection at our institution. Fifteen patients were identified who met these criteria. Clinical information on these patients was obtained from a review of the hospital and outpatient charts and the electronic patient record, which included radiology reports, operative notes, pathology reports, discharge summaries, and outpatient clinical follow-up examinations. Factors evaluated included patient demographics, presenting symptoms, physical examination findings, radiographic findings, surgical treatment, method of reconstruction, surgical complications, histopathologic findings, and the use of postoperative radiation therapy.