Middle Ear Salivary Choristoma: A Rare Case Report and Update on Congenital Associations, Facial Nerve Involvement, and Treatment Strategies

Salivary gland choristoma is an extremely rare middle ear mass and is hypothesized to be caused by second branchial arch developmental anomalies. We present a 14-year-old girl with Dandy–Walker syndrome and conductive hearing loss. Middle ear exploration revealed a large middle ear mass with absent...

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Main Authors: Allen Young, Lauran Evans, Matthew Ng
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Case Reports in Otolaryngology
Online Access:http://dx.doi.org/10.1155/2020/8435140
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author Allen Young
Lauran Evans
Matthew Ng
author_facet Allen Young
Lauran Evans
Matthew Ng
author_sort Allen Young
collection DOAJ
description Salivary gland choristoma is an extremely rare middle ear mass and is hypothesized to be caused by second branchial arch developmental anomalies. We present a 14-year-old girl with Dandy–Walker syndrome and conductive hearing loss. Middle ear exploration revealed a large middle ear mass with absent incus and stapes and displaced facial nerve. The mass was completely excised with histological confirmation of salivary gland choristoma. Her hearing was improved with bone-anchored hearing aids (BAHA). As facial nerve involvement is common, physicians should consider partial excision to avoid facial nerve palsy. Hearing restoration can be achieved with OCR or BAHA.
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spelling doaj-art-7d9d0257de954adb82ef927ccfd31e8d2025-08-20T03:35:19ZengWileyCase Reports in Otolaryngology2090-67652090-67732020-01-01202010.1155/2020/84351408435140Middle Ear Salivary Choristoma: A Rare Case Report and Update on Congenital Associations, Facial Nerve Involvement, and Treatment StrategiesAllen Young0Lauran Evans1Matthew Ng2Department of Otolaryngology Head and Neck Surgery, University of Nevada Las Vegas, 1701 West Charleston Boulevard Suite 490, Las Vegas, NV 89102, USADepartment of Head and Neck Surgery, University of California Los Angeles, 10833 Le Conte Avenue CHS 62-132, Los Angeles, CA 90095, USADepartment of Otolaryngology Head and Neck Surgery, University of Nevada Las Vegas, 1701 West Charleston Boulevard Suite 490, Las Vegas, NV 89102, USASalivary gland choristoma is an extremely rare middle ear mass and is hypothesized to be caused by second branchial arch developmental anomalies. We present a 14-year-old girl with Dandy–Walker syndrome and conductive hearing loss. Middle ear exploration revealed a large middle ear mass with absent incus and stapes and displaced facial nerve. The mass was completely excised with histological confirmation of salivary gland choristoma. Her hearing was improved with bone-anchored hearing aids (BAHA). As facial nerve involvement is common, physicians should consider partial excision to avoid facial nerve palsy. Hearing restoration can be achieved with OCR or BAHA.http://dx.doi.org/10.1155/2020/8435140
spellingShingle Allen Young
Lauran Evans
Matthew Ng
Middle Ear Salivary Choristoma: A Rare Case Report and Update on Congenital Associations, Facial Nerve Involvement, and Treatment Strategies
Case Reports in Otolaryngology
title Middle Ear Salivary Choristoma: A Rare Case Report and Update on Congenital Associations, Facial Nerve Involvement, and Treatment Strategies
title_full Middle Ear Salivary Choristoma: A Rare Case Report and Update on Congenital Associations, Facial Nerve Involvement, and Treatment Strategies
title_fullStr Middle Ear Salivary Choristoma: A Rare Case Report and Update on Congenital Associations, Facial Nerve Involvement, and Treatment Strategies
title_full_unstemmed Middle Ear Salivary Choristoma: A Rare Case Report and Update on Congenital Associations, Facial Nerve Involvement, and Treatment Strategies
title_short Middle Ear Salivary Choristoma: A Rare Case Report and Update on Congenital Associations, Facial Nerve Involvement, and Treatment Strategies
title_sort middle ear salivary choristoma a rare case report and update on congenital associations facial nerve involvement and treatment strategies
url http://dx.doi.org/10.1155/2020/8435140
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