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This congenital abnormality presents as single or multiple soft or firm flesh colored polyps anterior to the ear along a line from the tragus to the angle of the mouth
  • Polypoid fragment with fibrovascular core sometimes showing vellus hairs, adipose tissue and cartilage.

    Work-Up Considerations:

    • Accessory tragus can usually be diagnosed clinically
    • However, consideration may be given to histologic evaluation of any atypical lesions or lesions suspicious for malignancy.

    Treatment:

    • This is a benign lesion
    • Additional therapy after confirmation of diagnosis is not medically necessary.
    • Surgical removal can be performed for cosmetic reasons
    • Because some reports suggest a potential connection to the middle ear, involvement by an otolaryngologist is recommended by some if surgical removal is being considered.
    • Clinical evaluation to rule out other associated conditions and developmental abnormalities is recommended (e.g. hearing impairment, cleft lip/palate, Goldenhar syndrome, Nager acrofacial dysostosis, Townes-Brocks syndrome, Treacher Collins Franceschetti syndrome, VACTERL association, Wildervanck syndrome, Wolf-Hirschhorn syndrome, etc.).
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