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A 70-year-old man had one-year history of an erythematous, ulcerated and crusted lesion on the helix of his left auricle. Biopsy showed carcinoma of squamous cell type. His right auricle had been totally resected 5 years ago because of a similar lesion. Computed tomography revealed no bone destruction on the left side. As surgical treatment we performed subtotal auricular resection, left modified radical neck dissection-type III and superficial parotidectomy. The literature on this subject is reviewed.