Ear

Congenital anomalies

Congential - other



Last author update: 1 October 2013
Last staff update: 12 March 2025

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PubMed Search: Ear congenital


Nat Pernick, M.D.
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Cite this page: Pernick N. Congential - other. PathologyOutlines.com website. https://www.pathologyoutlines.com/topic/earcongenitalother.html. Accessed April 1st, 2025.
Definition / general
  • Congenital anomalies of the ear are common (1 per 6,000 births); higher incidence in Japanese and Navajo Indians
  • More common in males
  • 90% are unilateral
  • Either isolated or with other abnormalities
  • Cosmetic or functional
  • Anotia: complete absence of external ear
  • Microtia: mild to severe deformity; associated with other defects
Accessory tragi
Heterotopia / choristoma
Definition / general
  • WHO classification includes salivary gland choristoma and glial choristoma
  • Heterotopia: mass of tissue normal to the site in abnormal location
  • Choristoma: mass of tissue foreign to the site
  • Hamartoma: mass of tissue normal to site in haphazard arrangement
  • Middle ear choristomas include salivary gland tissue and neuroglial tissue
  • Salivary gland choristomas usually occur in women, associated with facial nerve and ossicle anomalies, suggesting a second branchial arch developmental anomaly; have mucinous and serous elements similar to submandibular and sublingual glands
  • Neuroglial choristomas are often actually an acquired encephalocele with herniation of brain into middle ear and mastoid; treatment is surgical, although tissue may adhere to facial nerve; determine relationship to CNS structures at operation or radiographically, not by histology (Laryngoscope 2000;110:1731, Ann Diagn Pathol 2004;8:252)
  • Cartilaginous choristoma of external ear canal: may be relatively common (Otolaryngol Head Neck Surg 2005;133:786)

Case reports

Radiology images

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Mass-like lesion with soft tissue density



Additional references
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