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Peer-reviewedCC BY-NC-NDThe American journal of case reports

Treatment of External Auditory Canal Hemangioma by Surgical Excision and Flap Reconstruction: 2 Case Reports.

  • Qian Zhang1
  • Wenjin Wu2,3,4
  • Linrui Chen5
  • Mingwei Xu2,3,4
  • Jianhui Qiu5
  • Qianwen Xiao6
  • Qiong Wu2,3,4
  • Yuan Yao2,3,4
  • Tianyu Gong2,3,4
  • Qin Zhang2,3,4
  • Yulian Jin2,3,4
  • Jun Yang2,3,4
2 more authors
  • Qing Zhang2,3,4
  • Mang Xiao1
6 affiliations
  1. 1Department of Otolaryngology Head and Neck Surgery, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.
  2. 2Department of Otolaryngology Head and Neck Surgery, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
  3. 3Ear Institute, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
  4. 4Shanghai Key Laboratory of Translational Medicine in Ear and Nose Diseases, Shanghai, China.
  5. 5Department of Otolaryngology Head and Neck Surgery, The First Affiliated Hospital of Nanchang University, Nanchang, Jiangxi, China.
  6. 6Department of Otolaryngology Head and Neck Surgery, Shanghai 411 Hospital, Shanghai, China.
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Abstract

BACKGROUND Hemangiomas are relatively common in the head and neck but rarely involve the external auditory canal (EAC). Surgical approaches for EAC hemangiomas vary, and optimal surgical management remains unclear. CASE REPORT We present 2 cases of hemangioma involving the EAC. Case 1 involved a 68-year-old man who presented with a sensation of fullness in the left ear. Case 2 involved a 62-year-old woman who presented with right-ear fullness, hearing loss, and persistent tinnitus. Preoperative assessment included otologic examination, computed tomography, magnetic resonance imaging, and corresponding auditory evaluations. Imaging across both cases consistently revealed well-defined soft-tissue masses confined to the EAC, accompanied by localized bony irregularities but preserving the middle ear structures. Both patients underwent complete trans-canal excision with concurrent skin flap reconstruction. Histopathological analysis of the excised specimens confirmed the diagnosis of cavernous hemangioma in each case. At 1-year follow-up, both patients achieved full symptom resolution, intact canal anatomy, and no recurrence. CONCLUSIONS In our 2 cases, trans-canal resection combined with local flap reconstruction served as a practical approach for EAC cavernous hemangiomas, resulting in symptom resolution and preservation of canal integrity at the 1-year follow-up.

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Cite

BibTeXRIS
BibTeX
@article{zhang2026treatment,
  title = {{Treatment of External Auditory Canal Hemangioma by Surgical Excision and Flap Reconstruction: 2 Case Reports.}},
  author = {Qian Zhang and Wenjin Wu and Linrui Chen and Mingwei Xu and Jianhui Qiu and Qianwen Xiao and Qiong Wu and Yuan Yao and Tianyu Gong and Qin Zhang and Yulian Jin and Jun Yang and Qing Zhang and Mang Xiao},
  journal = {The American journal of case reports},
  year = {2026},
  month = oct,
  doi = {10.12659/ajcr.953469},
  url = {https://europepmc.org/article/MED/42832425},
  note = {CC BY-NC-ND},
}
RIS
TY  - JOUR
TI  - Treatment of External Auditory Canal Hemangioma by Surgical Excision and Flap Reconstruction: 2 Case Reports.
AU  - Qian Zhang
AU  - Wenjin Wu
AU  - Linrui Chen
AU  - Mingwei Xu
AU  - Jianhui Qiu
AU  - Qianwen Xiao
AU  - Qiong Wu
AU  - Yuan Yao
AU  - Tianyu Gong
AU  - Qin Zhang
AU  - Yulian Jin
AU  - Jun Yang
AU  - Qing Zhang
AU  - Mang Xiao
PY  - 2026
DA  - 2026/10/05
JO  - The American journal of case reports
DO  - 10.12659/ajcr.953469
UR  - https://europepmc.org/article/MED/42832425
AB  - BACKGROUND Hemangiomas are relatively common in the head and neck but rarely involve the external auditory canal (EAC). Surgical approaches for EAC hemangiomas vary, and optimal surgical management remains unclear. CASE REPORT We present 2 cases of hemangioma involving the EAC. Case 1 involved a 68-year-old man who presented with a sensation of fullness in the left ear. Case 2 involved a 62-year-old woman who presented with right-ear fullness, hearing loss, and persistent tinnitus. Preoperative assessment included otologic examination, computed tomography, magnetic resonance imaging, and corresponding auditory evaluations. Imaging across both cases consistently revealed well-defined soft-tissue masses confined to the EAC, accompanied by localized bony irregularities but preserving the middle ear structures. Both patients underwent complete trans-canal excision with concurrent skin flap reconstruction. Histopathological analysis of the excised specimens confirmed the diagnosis of cavernous hemangioma in each case. At 1-year follow-up, both patients achieved full symptom resolution, intact canal anatomy, and no recurrence. CONCLUSIONS In our 2 cases, trans-canal resection combined with local flap reconstruction served as a practical approach for EAC cavernous hemangiomas, resulting in symptom resolution and preservation of canal integrity at the 1-year follow-up.
SN  - 1941-5923
ER  -