Article record

手术切除联合皮瓣重建治疗外耳道血管瘤：2例病例报告

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

临床研究耳科IF 0.9Q3

文献信息

PMID	42832425
原文	在 PubMed 查看原文 ↗
发表日期	2026
作者	Qian Zhang 查看其他 13 位作者 Wenjin Wu；Linrui Chen；Mingwei Xu；Jianhui Qiu；Qianwen Xiao；Qiong Wu；Yuan Yao；Tianyu Gong；Qin Zhang；Yulian Jin；Jun Yang；Qing Zhang；Mang Xiao
作者单位	Department of Otolaryngology Head and Neck Surgery, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China. 查看其他 5 条单位信息 Department of Otolaryngology Head and Neck Surgery, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.；Ear Institute, Shanghai Jiao Tong University School of Medicine, Shanghai, China.；Shanghai Key Laboratory of Translational Medicine in Ear and Nose Diseases, Shanghai, China.；Department of Otolaryngology Head and Neck Surgery, The First Affiliated Hospital of Nanchang University, Nanchang, Jiangxi, China.；Department of Otolaryngology Head and Neck Surgery, Shanghai 411 Hospital, Shanghai, China.
期刊	The American journal of case reports
SCI 分区	Q3
IF	0.9
研究类型	临床研究 · 临床
所属专科	耳科

中文摘要

背景： 血管瘤在头颈部相对常见，但很少累及外耳道（EAC）。外耳道血管瘤的手术方式多样，最佳手术管理仍不明确。
病例报告： 我们报告2例外耳道血管瘤病例。病例1为68岁男性，表现为左耳闷胀感。病例2为62岁女性，表现为右耳闷胀感、听力下降和持续性耳鸣。术前评估包括耳科检查、计算机断层扫描、磁共振成像及相应的听力学评估。两例影像学均一致显示局限于外耳道的边界清晰的软组织肿块，伴有局部骨质不规则，但中耳结构保留。两名患者均接受了完整经耳道切除并同期行皮肤瓣重建。切除标本的组织病理学分析证实两例均为海绵状血管瘤。随访1年时，两名患者症状完全缓解，耳道解剖结构完整，无复发。
结论： 在我们的2例病例中，经耳道切除联合局部皮瓣重建是治疗外耳道海绵状血管瘤的一种实用方法，在1年随访时实现了症状缓解并保留了耳道完整性。

英文摘要

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.