Cavernous haemangioma of the external auditory canal: Clinical case and review of the literature

Otorhinolaryngology Clinic, Department of Experimental Biomedicine and Clinical Neurosciences, University of Palermo, Italy.
Acta otorhinolaryngologica Italica: organo ufficiale della Società italiana di otorinolaringologia e chirurgia cervico-facciale (Impact Factor: 1.64). 02/2012; 32(1):54-7.
Source: PubMed


Although benign vascular lesions are frequent in the head and the neck region, clinical evidence of cavernous haemangioma of the external auditory canal is extremely rare; when present, the lesion invades the middle ear space. Herein, a rare case of a soft mass filling the external auditory canal, not involving the tympanic membrane, in a symptomatic 59-year-old male is described. Clinical and audiological characteristics, imaging studies and surgical treatment with histological evaluation are reported, which led to a diagnosis of a cavernous haemangioma. This is only the seventh case described in the literature, to date, not involving the tympanic membrane and the middle ear space. In addition, a review has been made of the relevant literature with respect to epidemiology, presentation, evaluation, pathology, and management options for haemangiomas arising in the external auditory canal.

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Available from: Francesco Martines,
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    • "Tympanic hemangiomas, 40% of external ear hemangiomas, arise from the lamina propria of the TM and has pedicles in the posterior part of the tympanic membrane [2, 4, 8, 11, 13, 14]. The hemangioma may affect the EAC involving only the skin of the posterosuperior wall (20% of cases) [6, 9, 10, 15]. It can sometimes extend to the adjacent tympanic membrane (40% of cases) [1, 3, 5, 7, 12]. "
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    ABSTRACT: Hemangiomas of the external auditory canal, involving the posterior bony canal and the adjacent tympanic membrane, although rare, are considered a specific disease entity of the human external auditory canal. Hemangiomas of the tympanic membrane and/or external auditory canal are rare entities; there are 16 previous case reports in the literature. It is a benign vascular tumor. It generally occurs in males in the sixth decade of life. Total surgical excision with or without tympanic membrane grafting appears to be effective in the removal of this benign neoplasm. The authors present a case and a review of the literature discussing diagnostic and surgical approaches.
    12/2012; 2012(2):402630. DOI:10.1155/2012/402630
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    ABSTRACT: The goal of this work was to study if patients suffering from tinnitus, that affects 14.5% of Italian people, are more susceptible to psychological distress than those who are not affected by tinnitus; to evaluate the prevalence of psychopathological disorders among the cohort, their relationship with the severity of tinnitus and eventual correlation between the distress caused by tinnitus and age of patients. 191 cases and 237 controls were enrolled between 2009-2011. Cases were 80 females and 111 males with mean age of 48.06. Controls were 106 females and 131 males with mean age of 47.09. Overall subjects completed Symptom CheckList-90 R (SCL 90-R) and some brief questionnaire about audiological history while Tinnitus Handicap Inventory (THI) was compiled by cases. Our study indicates that there is a significance correlation between tinnitus and psychopathological disorders, especially with anxiety (χ2=8.08; p=0.004) and sleep disturbance (χ2=38.85; p=0.0001) and there is a slight correlation between higher THI score and lower age subjects (r=0.76). Especially causing working impairment, the highest correlation resulted for ages 25-50 (r=0.96).
    Acta Medica Mediterranea 01/2012; 28(2). · 0.11 Impact Factor
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    ABSTRACT: Tinnitus represents one of the most frequent symptoms observed in the general population in association with different pathologies, although often its etiology remains unclear. Objective of this work is to evidence the main aspects concerning epidemiology, causes, audiological characteristics and psychological consequences of tinnitus.
    Acta Medica Mediterranea 01/2012; 28(2). · 0.11 Impact Factor
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