Cavernous hemangioma of the external ear: Case report and literature review (original) (raw)

Hemangiomas of the external auditory canal:a literature review and two new case reports

Central European Journal of Medicine, 2012

Aim: The aim of this paper is to present two case reports of patients with hemangiomas of the external auditory canal, and to overview all cases published in English language literature so far. Methods: Two patients with hemangiomas of the external auditory canal have undergone clinical and morphofunctional examination, surgical procedures, histopathological examination, and postoperative follow up. Results: In a 38-year-old female patient transmeatal approach was used to remove the cavernous hemangioma of the external auditory canal. The postoperative period was eventless, with normal morphofunctional findings during a 5-month postoperative follow-up period. In the second patient, a 68-year-old female, a capillary-cavernous hemangioma was removed using retroauricular approach. Conclusion: Cavernous hemangiomas are rare lesions of the external auditory canal. In the morphological diagnosis, computed tomography of the temporal bones is the leading diagnostic procedure, along with otoendoscopy and endocranial magnetic resonance imaging which are important in evaluation of the spread of the lesion. Biopsy of vascular lesions is not recommended. Complete surgical excision of hemangioma of the external auditory canal is the therapy of choice with a minor risk of hearing impairment.

A case of cavernous hemangioma of the infratemporal fossa causing recurrent secretory otitis media

Brazilian Journal of Otorhinolaryngology, 2021

Secretory otitis media causes aural fullness and hearing loss secondary to Eustachian tube obstruction or incomplete resolution of acute otitis media. Every patient with unilateral middle ear effusion should undergo nasopharyngoscopy to assess the nasopharyngeal space. Expansive lesions at the level of pterygopalatine fossa may cause Eustachian tube compression with tube dysfunction with clinical findings of recurrent unilateral secretory otitis media. In this paper, a 55 years old man presented with a history of hearing loss and fullness in the left ear. Brain MRI scan showed the presence on the left side of a solid mass in the infratemporal masticatory space and the patient underwent endoscopic transnasal resection of the lesion. At 6 months follow-up there was no evidence of disease recurrency. In our opinion, it is important to add an imaging tool to the diagnostic algorithm in all those cases of secretory otitis media lasting more than 3 months that present a negative nasopharyngoscopy evaluation.

Hemangioma as Mass of External Ear Canal

Patient with a round and soft lesion completely covered with skin without modification in color fulfilling approximately 90% of external ear canal diameter. Patient’s complain was dullness sensations on affected ear. CT scan demonstrated lack of tympanic membrane commitment and pathological findings were compatible with hemangioma. Conclusion: It is important to define whether there is hemangioma's involvement of tympanic membrane, finding that could be determined through temporal bone CT scan. Treatment is based on surgical removal of lesion.

Imaging diagnosis of benign lesions of the external auditory canal

Acta Otorrinolaringologica Espanola, 2012

Introduction and objectives: Benign lesions of the external auditory canal (EAC) are an infrequent cause of temporal bone CT scan requests. We are not usually well-versed in the different pathologies located in the EAC, perhaps because it is ''only'' a conduit and the relevant anatomical structures are located in the middle and inner ear.

A rare vascular tumor of the external auditory canal: the capillary hemangioma

Kulak burun boğaz ihtisas dergisi : KBB = Journal of ear, nose, and throat

A 32-year-old woman presented to our department with a 10-month history of right-sided intermittant otorrhagia. There was no history of hearing loss or pulsatile tinnitus. Otomicroscopic examination revealed a reddish mass arising from the right antero-superior portion of bony canal wall, which measured about 1 cm in diameter. The tympanic membrane seemed to be uninvolved. A computed tomography scan of the temporal bone showed 0.6 x 0.8 cm diameter soft-tissue mass arising from the right external auditory canal, 0.5 cm away from tympanic membrane. The lesion was excised via a transcanal approach under local anesthesia. The histopathologic assessment indicated a capillary hemangioma. There was no recurrence four years after the surgery. Hemangioma of the external auditory canal is a rare otologic entity. It is commonly classified as capillary or cavernous hemangioma. According to the literature, this case represents the second patient with capillary hemangioma of the external auditor...

An unusual presentation of the external auditory canal mass

The Egyptian Journal of Otolaryngology

Background External auditory canal (EAC) masses can arise secondary to a multitude of ear pathologies like congenital, inflammatory, infective, or malignancy. The most common causes of external auditory canal masses are due to otitis media—squamous and mucosal types, tubercular otitis media, malignant otitis externa, and benign tumors like osteomas, exostosis, pleomorphic adenoma, tumors from the ceruminous and sebaceous glands; and malignant tumors like squamous cell carcinoma and rhabdomyosarcoma. The management of an external auditory canal mass will vary in each case, depending upon the underlying pathology and the extent of the involvement of the surrounding structures. Case presentation In our case report, we report a neglected foreign body in the external auditory canal that presented as an EAC mass and its management. Conclusion Hence, we suggest that we need to consider an underlying neglected foreign body as a cause, whenever masses of EAC do not respond to appropriate med...

Masses and disease entities of the external auditory canal: Radiological and clinical correlation

Clinical Radiology, 2012

A wide spectrum of disease entities can affect the external auditory canal (EAC). This review describes the normal anatomy of the EAC. Congenital abnormalities, infections, neoplasms, and miscellaneous conditions, such as cholesteatoma and acquired stenosis, are shown with reference to clinical relevance and management. Cases have been histologically confirmed, where relevant. The EAC is frequently imaged d for example, on cross-sectional imaging of the brain d and this review should stimulate radiologists to include it as an important area for review.