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	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

In the July 2001 issue of the ARCHIVES, Dr Gillespie et al¹ published their experience with patients with squamous cell carcinoma of the temporal bone. They analyzed a series of 15 patients and compared their outcome based on preoperative radiographic imaging and a pathologic staging system originally proposed from our institution, the University of Pittsburgh, Pa.²

We recently updated our experience with patients having squamous cell carcinoma of the temporal bone.³ We initially followed the original staging system. However, in careful review, we believed that the system required modification. The course of the facial nerve occupies the medial wall of the middle ear and mastoid cavity. It exits the temporal bone through the stylomastoid foramen, located at the medial aspect at the tympanic bone. We proposed that the anatomic location of the facial nerve is more appropriately considered a T4 tumor due to its location of the medial wall of . . . [Full Text of this Article]

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