American Journal of Otolaryngology - Head and Neck Medicine and Surgery
Volume 28, Issue 3 , Pages 180-183, May 2007

Cavernous hemangioma of the tympanic membrane and external ear canal

  • Giuseppe Magliulo, MD

      Affiliations

    • Department of Otorhinolaryngology, Audiology and Phoniatrics “G. Ferreri,” University La Sapienza, Rome, Italy
    • Corresponding Author InformationCorresponding author. Via Gregorio VII n 80, 00165 Rome, Italy. Tel.: +39 3388622344; fax: +39 6 49976817.
    • ,
  • Donato Parrotto, MD

      Affiliations

    • Department of Otorhinolaryngology, Audiology and Phoniatrics “G. Ferreri,” University La Sapienza, Rome, Italy
    • ,
  • Barbara Sardella, MD

      Affiliations

    • Department of Experimental Medicine and Pathology, University La Sapienza, Rome, Italy
    • ,
  • Carlo della Rocca, MD

      Affiliations

    • Department of Experimental Medicine and Pathology, University La Sapienza, Rome, Italy
    • ,
  • Massimo Re, MD

      Affiliations

    • OtoRhinoLaryngology Chair, University Politecnico delle Marche, Ancona, Italy

Abstract 

Objectives

The aims of this study are to document the occurrence of a cavernous hemangioma of the tympanic membrane (TM) and external auditory canal (EAC) that invaded the middle ear spaces and to review the relevant literature.

Methods

The clinical presentation, imaging studies, operative report, and histologic findings of this new case of cavernous hemangioma are reviewed.

Results

A cavernous hemangioma of the TM and EAC involving the middle ear spaces was surgically excised without complications. The pulsatile tinnitus, which affected our patient at the same ear where the lesion was situated, disappeared after surgery. Our case represents the first documented cavernous hemangioma of the TM and EAC that invaded the middle ear spaces and the eighth case of cavernous hemangioma of the EAC/TM. Computed tomography is the method of choice in evaluating this lesion.

Conclusions

Hemangiomas of the EAC and/or TM are extremely rare entities amenable to surgical excision. With magnetic resonance imaging, there is difficulty in defining the exact location of the tumor and degree of soft tissue involvement.

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PII: S0196-0709(06)00061-5

doi:10.1016/j.amjoto.2006.03.012

American Journal of Otolaryngology - Head and Neck Medicine and Surgery
Volume 28, Issue 3 , Pages 180-183, May 2007

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