Capillary hemangioma of the tympanic membrane.
We report a case of capillary hemangioma of the tympanic membrane in a 51-year-old man with conductive hearing loss, otalgia, and otorrhea. On examination, the external auditory canal was obstructed with a hard, dark red tumor, and purulent discharge was observed. The infection was controlled with antibiotics, but hearing loss persisted. Therefore, transcanal resection was performed. The tumor was attached to the postero-superior quadrant, and arose from the lamina propria. Histologically, the tumor was composed of multiple capillary-sized vessels surrounded by fibrous connective tissue and diagnosed as capillary hemangioma. After surgical treatment, hearing loss was diminished, and there has not been any sign of recurrence for 3 years despite the positive surgical margin.
Hiraumi
Harukazu
H
Department of Otolaryngology-Head and Neck Surgery, Graduate School of Medicine, Kyoto University, Kyoto City, Japan. hhiraumi@ent.kuph.kyoto-u.ac.jp
Miura
Makoto
M
Hirose
Tomoko
T
D002558:Cerebrospinal Fluid Otorrhea / Q000209:etiology; D004428:Ear Neoplasms / Q000175:diagnosis* / Q000601:surgery; D004433:Earache / Q000209:etiology; D006314:Hearing Loss, Conductive / Q000209:etiology; D018324:Hemangioma, Capillary / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D014432:Tympanic Membrane / Q000601:surgery*