I have a 59yof with r infrauaric scca. Infraauric mass excised May 2019=scca with perineural invas. Aug 2019, flaccid FP.
MRI shows mass encompassing mastoid tip and stylomastoid foremen up the mastoid segment. Floor of EAC involved.
She has past ho anal ca, sarcoidosis, demyelination disease, sp chemo 5 yrs ago. Diabetes and nonhealing ulcers on right foot.
Planning excision with nerve biopsy, drillout, if prox trunk viable, trunk to distal branches and N to masseter to buccal. If not, cross face with MABC and n to masseter also.
FL and perioculat work.
Appreciate any input.