Hemangioma is a benign tumor of blood vessels that is commonly found in the head and neck region. Hemangioma consists of two main types, capillary and cavernous hemangiomas. Hemangioma is predominantly affects women compared to men with a ratio of 6:1. Middle ear hemangioma diagnosis can be established based on history, physical examination, and additional work-ups. Several approach of therapies that could be performed include surgery preceded by ligation, radiotherapy, steroids and embolization. The main treatment of choice for hemangiomas is surgery.