title: Middle ear capillary haemangioma: Review of literature and appraisal of management options.
abstract: Infantile middle ear capillary haemangiomas (MECH) are a rare entity with only five reported cases in the literature. At present there is no consensus regarding the management of such lesions. Extra-cutaneous haemangiomas have been successfully managed with oral propranolol but not yet reported in MECH. We present a further case and appraise the management options. At present oral propranolol has not been used in the treatment of MECH. The literature suggests that infantile MECH have a higher propensity to spontaneously involute and a greater likelihood of response to propranolol. Surgical excision is the best option in older children and adults.
authors.affiliation: Department of Otolaryngology/Head & Neck Surgery, University Hospital Southampton NHS Foundation Trust, Southampton, UK; Academic Unit of Clinical and Experimental Sciences, University of Southampton Faculty of Medicine, Southampton, UK. Electronic address: alisalamat@doctors.org.uk.
authors.forename: Ali A
authors.initials: AA
authors.lastname: Salamat
authors.affiliation: Department of Otolaryngology/Head & Neck Surgery, University Hospital Southampton NHS Foundation Trust, Southampton, UK.
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Casselden
authors.affiliation: Department of Pathology, University Hospital Southampton NHS Foundation Trust, Southampton, UK.
authors.forename: Jeffrey
authors.initials: J
authors.lastname: Theaker
authors.affiliation: Department of Radiology, University Hospital Southampton NHS Foundation Trust, Southampton, UK.
authors.forename: Vincent
authors.initials: V
authors.lastname: Batty
authors.affiliation: Department of Otolaryngology/Head & Neck Surgery, University Hospital Southampton NHS Foundation Trust, Southampton, UK.
authors.forename: Sebastian
authors.initials: S
authors.lastname: Thomas
mesh_terms: D000319:Adrenergic beta-Antagonists / Q000627:therapeutic use*; D002648:Child; D004428:Ear Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology / Q000628:therapy*; D004432:Ear, Middle / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D018324:Hemangioma, Capillary / Q000000981:diagnostic imaging / Q000473:pathology / Q000628:therapy*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D013506:Otologic Surgical Procedures; D011433:Propranolol / Q000627:therapeutic use*; D014057:Tomography, X-Ray Computed; D057832:Watchful Waiting
chemical_list: D000319:Adrenergic beta-Antagonists; D011433:Propranolol
keywords: Middle ear capillary haemangioma; Propranolol; Surgery