Trichoepitheliomas are rare skin tumors which can cause significant co
smetic and functional impairment when they occur in the head and neck
area. Multiple methods of treatment including plastic surgery, dermabr
asion, cryosurgery and laser surgery have been reported in the literat
ure. A 32-year-old male with multiple coalesced lesions in his ear can
als was treated with radiation therapy after he failed more convention
al methods of treatment. He is free of tumor in the radiated area 17.5
months after treatment with significant functional improvement. Vario
us aspects of this tumor were reviewed. More data are still needed to
define the proper place for radiation in the management of this diseas
e.