A congenital tag just in front of the ear on one side.

ACCESSORY TRAGUS

The accessory tragus (AT) is a congenital malformation of the external ear.

• A small tag, papule, nodule, or pedunculated lesion is located just anterior to the ear. In some cases, multiple lesions are present.
• 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.

Treatment, Brief Overview

• 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.

RegionalDerm

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