Abstract

We report a case of capillary hemangiomsa that involved the entire middle ear space, external auditory canal(EAC) and tympanic antrum. Symptoms in the case included ear fullness, hearing loss, otalgia and otorrhea. The case was misdiagnosed as recurrent chronic otitis media with granulation preoperatively. A diagnosis of capillary hemangioma was established by postoperative histological examination. The management of capillary hemangioma of the middle ear and external auditory canal is discussed, with a review of the literature. Because of its variable and sometimes misleading clinical presentation, hemangioma can initially be misdiagnosed as other lesions. Therefore, a high index of suspicion is necessary for early and accurate diagnosis.

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