Wereportacaseofcapillaryhemangiomsathatinvolvedtheentiremiddleearspace,externalauditorycanal(EAC)andtympanicantrum.Symptomsinthecaseincludedearfullness,hearingloss,otalgiaandotorrhea.Thecasewasmisdiagnosedasrecurrentchronicotitismediawithgranulationpreoperatively.Adiagnosisofcapillaryhemangiomawasestablishedbypostoperativehistologicalexamination.Themanagementofcapillaryhemangiomaofthemiddleearandexternalauditorycanalisdiscussed,withareviewoftheliterature.Becauseofitsvariableandsometimesmisleadingclinicalpresentation,hemangiomacaninitiallybemisdiagnosedasotherlesions.Therefore,ahighindexofsuspicionisnecessaryforearlyandaccuratediagnosis.