The glomus tumor is a middle ear neoplasm commonly delayed in diagnosis. Surgery and radiation are often recommended as therapy; in the literature are no reported series of piezoelectric excision of glomus tympanicum tumors. This paper reviews a series of ten patients in whom successful resection of the type A glomus tympanicum tumours was achieved with the use of Piezosurgery Piezosurgery is a new instrument able to cut the bone without necrosis and non-mineralized tissues damage. In all the patients Piezosurgery provided excellent control of glomus tympanicum tumors without side effects on the soft tissues.