By Gary M. White, MD
The accessory tragus is a congenital malformation of the external ear.
- Cartilage may or may not be present.
- Rarely, other abnormalities are associated, e.g. Goldenhars Syndrome (oculo-auriculo-vertebral syndrome), Treacher-Collins syndrome, Wolf-Hirschhorn syndrome, Nager's acrofacial dysostosis, Wildervanck syndrome (cervicooculoacoustic syndrome), Townes-Brocks syndrome, and Delleman syndrome.
- It is usually unilateral and solitary.
- Vellus hair is often present.
- It can be firm or soft. If firm, it may contain cartilage.
A small tag, papule, nodule, or pedunculated lesion is located just anterior to the ear. In some cases, multiple lesions are present.
- Shave excision.
- If cartilage at base, punch it out and suture.
No treatment is needed, but surgical excision may be performed. If there is any suggestion of a connecting sinus or fistula, a pediatric otolaryngologist should be consulted.
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