This report is based on 88 tumours of the ear region. They consist of 38 squamous cell carcinomas, 34 basal cell carcinomas, 4 adenoid cystic carcinomas, 3 chemodectomas and 2 sarcomas. These tumours represent a severe sickness in the last two decades of the patients with an average age of 69 years. Its etiology derives from multiple factors. When the diagnosis was made, 44% already reached to the advanced tumour stages T3 and T4. The tumours are widely spread over the surrounding area like mastoid, petrosal and temporal bones, parotid gland and joint of lower jaw. In most cases extensive surgical procedures are required, limitated by their boundaries. In 8 cases we found metastases in the regional lymphnodes and only in 2 distant metastases in the lung and skin. Contrary to the common opinion, more radical surgical measurements result a remarkably higher survival rate than combined radio-surgical treatment, more so, when radiotherapy alone was given. The over-all range of 5 years survival time was 52%, whereas the favorable data was only due to the high amount of basal cell carcinomas. Nevertheless, the detrimental aspect in malignant ear-tumours, at least in terms of survival rates, hat not yet changed in the last decade.