Publication:

A rare case of capillary hemangioma mimicking glomus tympanicum in a 38 years old male

Capillary hemangiomas of the middle ear are rare benign vascular neoplasms characterized by abnormal proliferation of small blood vessels. We report a case of a 38-year-old male who presented with episodes of otorrhea, aural fullness, otalgia, and hearing loss in the left ear. Otoscopic examination revealed a thickened, reddish, non-pulsatile tympanic membrane. Pure tone audiometry demonstrated mild conductive hearing loss, and CT imaging of the temporal bone showed a soft tissue mass in the mesotympanum and epitympanum. Surgical exploration and histopathology confirmed the diagnosis of a capillary hemangioma. Surgical excision remains the mainstay of treatment, with histopathology as the definitive diagnostic tool. Long-term follow-up is recommended due to the risk of recurrence.