Hemangiomas and other vascular lesions are common in the head and neck in children. Multiple areas of involvement have been reported, but only 12 cases of middle ear involvement have been reported in the English literature [P.J. Hsueh, W.Y. Chen, Y.C. Chiang, F.P. Lee, Capillary hemangioma of the middle ear, Otolaryngol. Head Neck Surg. 136 (4) (2007) 666-667]. This case describes the presentation and novel treatment of a middle ear hemangioma using a CO2 laser assisted excision. © 2009 Elsevier Ireland Ltd. All rights reserved.