By Gary M. White, MD
A wattle is a congenital lesion of the neck that probably represents either ectopic auricular cartilage or a remnant of the branchial arch system.
- It is present at birth and is located in the middle or lower third of the neck, usually anterior to the sternocleidomastoid muscle.
- The wattle is also known as a congenital cartilaginous rest, cervical tab, cervical auricle, Meckel's cartilaginous remnant, elastic cartilage choristoma of the neck, and cervical chondrocutaneous branchial remnant.
- It may be considered a cervical variant of accessory tragus.
A firm, flesh-colored tag or pedunculated lesion is seen on the anterior side of the neck. A branchial sinus may be associated.
If no fistula or sinus is associated, the lesion may be simply excised.
Indian Journal of Pediatric Dermatology 2013;14;33-35
Dermatology Online Journal 22(7)
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