gms | German Medical Science

78. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e. V.

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e. V.

16.05. - 20.05.2007, München

Vascular tumors of the middle ear – seldom cause of otitis in young children

Meeting Abstract

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  • corresponding author Stefanie Drüg-Skamel - HNO-Klinik, AMEOS-Klinikum, Halberstadt, Germany
  • Klaus Begall - HNO-Klinik, AMEOS-Klinikum, Halberstadt, Germany
  • Dirk Esser - HNO-Klinik, HELIOS-Klinikum, Erfurt, Germany

German Society of Oto-Rhino-Laryngology, Head and Neck Surgery. 78th Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery. Munich, 16.-20.05.2007. Düsseldorf, Köln: German Medical Science; 2007. Doc07hno052

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Veröffentlicht: 8. August 2007

© 2007 Drüg-Skamel et al.
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Introduction: Glomus tympanicum tumors (tympanic paragangliomas) and hemangioma of the middle ear are very rare events in children. Typical clinical symptoms are a conductive hearing loss and a suppurative draining.

Case report: After 18 month ineffectively treating a draining ear of a five years old mentally retarded girl with different local and systemic antibiotics she was handled in-patient under suspicion of a mastoiditis. Clinical examination showed a swollen outer ear canal and a smelling secretion. A high definition CT-scan of the temporal bone revealed an inflammatory process of tympanum and mastoid. By audiogram a conductive hearing loss of 40dB was determined. A mastoidectomy had been performed. During operation no purulent but clear secretion could be drained. The complete tympanic cavity was filled with easily bleeding tissue. A paracentesis had been waived because of the persisting swelling of the outer ear canal. A MR-angiography had been performed for that reason. It showed a mesotympanal, highly vascularized tumor suspecting a glomus tympanicum tumor.

Because of very small vessels in the tumor the embolisation could have been neglected Operative extirpation of the vascular tumor followed by a type III tympanoplasty succeeded hassle-free. Histological diagnostics assessed the tissue as capillary hemangioma. A tympanic paraganglioma could not be witnessed. Postoperatively a complete healing of the middle resulted.