Abstract
Accessory tragus is a rare congenital malformation of the external ear, originating in the first branchial arch. Most frequent localization of the asymptomatic skin-colored lesion is the pre-auricular region. Familial occurrence of accessory tragus as well as association with a variety of developmental abnormalities of the first and second branchial arch have been reported. The only disorder with which accessory tragus is consistently found is Goldenhar syndrome. Accessory tragus may be confused with other structures such as an epidermoid cyst, therefore this congenital malformation is important for the differential diagnosis of ear lesions. Simple excision is the treatment of choice.
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