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  Vol. 131 No. 4, April 2005 TABLE OF CONTENTS
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  •  Online Features
  Clinical Problem Solving: Pathology
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Pathology Quiz Case: Diagnosis

Arch Otolaryngol Head Neck Surg. 2005;131:364.

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Diagnosis: Glial choristoma of the middle ear

Choristomas are not neoplasms. Rather, they represent anatomically displaced tissues that have resulted from a developmental defect that occurred during embryogenesis.1 In effect, histologically normal tissues are encountered in anatomically unexpected sites. Brain tissue that is encountered in some extracranial sites is referred to as glial heterotopia. Glial heterotopia usually occurs along the midline of the head and neck, typically involving the nasopharynx, soft palate, lips, tongue, and tonsils.2 The nose (nasal glioma) is the most commonly involved site.3 As choristomas of the middle ear do not occupy a midline location, they are much more likely to be composed of salivary gland tissue (salivary gland choristoma) than of glial tissue.4

The rare presence of brain tissue in the middle ear is likely the result of a closure defect of the adjacent temporal bone, with herniation of intracranial contents into the middle ear.5 . . . [Full Text of this Article]



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RELATED ARTICLE

Pathology Quiz Case
Erik H. Waldman, Emily DeSantis, Lawrence R. Lustig, and David E. Tunkel
Arch Otolaryngol Head Neck Surg. 2005;131(4):363.
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