Hartwein J H, Raschke D T
Laryngol Rhinol Otol (Stuttg). 1987 May;66(5):280-2.
Haemangioma is an extremely rare tumour of the middle ear. A case of a 60-year old woman patient who complained of a hearing loss for about a year, is reported. Microotoscopy showed a blue pulsating mass behind the tympanic membrane. Angiographic and computer-tomographic investigations led to the suspicion of a glomus tympanicum tumour that was removed bitemporally. The histological preparation showed a capillary haemangioma. Only few cases have been reported in the literature of the last few decades. The symptoms may be loss of hearing, pulsating tinnitus, bleeding, pain and, in extreme cases, paralysis of cranial nerves. Besides treatment by surgery the therapeutic aim should be to preserve the function of the middle ear.
血管瘤是一种极其罕见的中耳肿瘤。本文报告了一例60岁女性患者,她主诉听力损失约一年。耳镜检查显示鼓膜后有一个蓝色搏动性肿物。血管造影和计算机断层扫描检查怀疑是鼓室球瘤,遂进行双侧颞部切除。组织学检查显示为毛细血管瘤。在过去几十年的文献中,仅有少数病例报道。症状可能包括听力丧失、搏动性耳鸣、出血、疼痛,在极端情况下还会出现颅神经麻痹。除了手术治疗外,治疗目标应是保留中耳功能。