Management of middle ear hemangiomas.

Abstract:

:Hemangioma rarely presents as an isolated middle ear lesion. Because congenital hemangiomas usually regress spontaneously, surgical excision is not always necessary. However, a hemangioma in the middle ear can be complicated by infection and hearing impairment. We present 2 cases to show contrasting management strategies, both with successful outcomes. Two children who presented with unilateral otitis media were found to have concomitant mesotympanic hemangiomas on examination. The first child was asymptomatic and subsequently had an incisional biopsy, confirming the suspected diagnosis. The residual tumor then involuted over the following year. The second child, however, developed chronic otitis media refractory to medical therapy and required surgical removal of the entire hemangioma. Once a tissue diagnosis is made, middle ear hemangiomas can be managed expectantly (ie, wait for spontaneous resolution) or surgically. If growth of a middle ear hemangioma appears to be causing complications refractory to conservative therapy, then early surgical excision may be indicated.

journal_name

Am J Otolaryngol

authors

Hecht DA,Jackson CG,Grundfast KM

doi

10.1053/ajot.2001.26498

subject

Has Abstract

pub_date

2001-09-01 00:00:00

pages

362-6

issue

5

eissn

0196-0709

issn

1532-818X

pii

S0196-0709(01)99717-0

journal_volume

22

pub_type

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