颞骨海绵状血管瘤较为罕见，其病变多位于内听道或膝状神经节且体积较小，作者报告1例病变巨大且发展迅速的5岁女孩。表现为周期性、间歇性左渗出性中耳炎15个月，左耳呈很合性聋，血管造影阴性、增强CT检查显示大片阴影取代颈骨并侵及同侧字规管。鼓室探查发现似血管瘤样变， Cavernous cavernous hemangioma is rare, and its lesions are mostly located in the inner auditory canal or geniculate ganglion and are small in size. The authors report a case of a 5-year-old girl with a large lesion and rapid development. The performance of periodic, intermittent left effusion otitis media for 15 months, the left ear was very convulsive spasm, negative angiography, enhanced CT examination showed large shadows to replace the neck and invade the ipsilateral word regulation. The tympanic exploration revealed hemangiomatous changes.