| Summary: | Objective: Tragus is a part of the external ear that develops from the first branchial arch. Accessory ear is a congenital external ear anomaly
and has skin elevation containing remnant cartilage. The auricle develops between the 4th and 12th week of the embryonic stage,
which groove the tissue from the 1st and 2nd branchial arches. Histologically, the lesions include a rugated epidermis with a thin layer
stratum corneum, tiny mature hair follicles, fat lobules, and connective tissue framework that may include a central cartilage core. The
aim of this study was to evaluate the accessory tragus lesions with our clinical surgical treatment results.
Material and Methods: Lesions usually located anterior to the tragus and along an imaginary line drawn from the tragus to the angle of
the mouth. Twelve patients admitted to our clinic between October 2011 and November 2014 were included in this study.
Results: Seven boys and five girls between two–13 years old underwent operation. In total, 28 accessory ears were excised. No complications
were observed during the procedure, and no complaints were noted in the postoperative period.
Conclusion: Generally, limited anomaly is associated with the first and second branchial arch anomalies. Surgical excision is the standard
treatment for the lesions which usually due to the esthetic concerns.
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