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Early diagnosis remains particularly challenging, and surgical excision constitutes the primary therapeutic approach. We present a 13-year-old male with congenital hearing impairment diagnosed with SGCh and surgically managed. This report describes the first documented case of SGCh coexisting with middle ear lipoma, analyzing its clinical presentation, imaging differential diagnostic challenges, and surgical management strategy to advance precise diagnostic and therapeutic interventions.<\/jats:p>","DOI":"10.1177\/01455613261455159","type":"journal-article","created":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T17:19:21Z","timestamp":1780334361000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["A Rare Case of Coexisting Middle Ear Salivary Gland Choristoma and Lipoma"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-7055-3772","authenticated-orcid":false,"given":"Yingjing","family":"Chen","sequence":"first","affiliation":[{"name":"Zhejiang Chinese Medical University, Jiaxing University Master Degree Cultivation Base, Hangzhou, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4822-3556","authenticated-orcid":false,"given":"Xiaohong","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, The Second Affiliated Hospital of Jiaxing University, Jiaxing, Zhejiang, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tian","family":"Yu","sequence":"additional","affiliation":[{"name":"Zhejiang Chinese Medical University, Jiaxing University Master Degree Cultivation Base, Hangzhou, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,6,1]]},"reference":[{"key":"e_1_3_7_2_2","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1961.00740020665006"},{"key":"e_1_3_7_3_2","first-page":"8435140","article-title":"Middle Ear Salivary Choristoma: A Rare Case Report and Update on Congenital Associations, Facial Nerve Involvement, and Treatment Strategies","volume":"2020","author":"Young A","year":"2020","unstructured":"Young A, Evans L, Ng M. 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