Cancers of the temporal bone are rare. Cervical metastases occur in approxi
mately 10% of cases and are much more likely once disease extends beyond th
e confines of the temporal bone. Nonlymphatic spread of squamous cell carci
noma is usually a late event resulting in metastatic deposits in the lung,
bone, liver and brain. This chapter discusses detection of distant metastas
es and provides a recommended schedule for interval patient evaluation. Cop
yright (C) 2001 S. Karger AG, Basel.