What is the term used for this congenital mass??? Hereditarily Any underlying cause/ disorder Need any treatment

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Dx :- Accessory tragus / Heterotrophic tragus/Supernumerary tragus. Incidence : 1 - 10 per 1000 live births. Clinically, they are noted on physical examination at birth or by parents in the newborn period. Accessory tragi typically present as pedunculated or sessile, skin-coloured papules located in the preauricular region. They are most often unilateral and solitary, but can be multiple or bilateral. On palpation they might feel soft or firm depending upon the degree of underlying cartilaginous structure. Histologic examination commonly reveals a prominent connective tissue framework, subcutaneous fat, and numerous tiny mature hair follicles, with or without the presence of a cartilaginous component. CAUSE / DISORDER :- Their cause is unclear, the pathophysiologic basis of the accessory tragi relates directly to the embryologic development of the external ear. The tragus derives from the first branchial arch, while the remaining components of the external ear all derive from the second branchial arch. The first branchial arch also gives rise to the mandible and maxilla, explaining why accessory tragi have also been reported along the jaw line. D / D :- 1 ) Auricular fistulas, which might also be present at birth, but here typical depressions or pits located about the helix. 2 ) Congenital branchial cysts characteristically appear on the upper lateral aspect of the neck (owing to their second-branchial-arch origin) and often slowly enlarge and contain a clear-to-mucinous fluid with granular cellular debris when excised. 3 ) Epidermoid cysts might look similar, in that they are often well-circumscribed, dome-shaped, skin-coloured, mobile, firm nodules commonly found on the face and neck of the children. They are not typically congenital, rather resulting from occlusion of pilosebaceous follicles, and they can periodically become inflamed or infected. Accessory tragi have also been associated with hearing impairment and renal abnormalities such as hydronephrosis and horseshoe kidney. Rx :- Accessory tragi are most often clinically insignificant and thus, in the absence of other signs or symptoms- Reassurance is the only treatment required. Treatment might be sought if there is localized irritation or if the lesion is cosmetically unacceptable. In such cases, surgical excision by a plastic surgeon is warranted, as care must be taken to remove any and all underlying cartilage, which can extend deep into the subcutaneous layer. It is generally advisable for this to be completed before the child begins school. Shave excision or incomplete surgical excision can leave an exposed cartilaginous fragment, resulting in slow healing or chondrodermatitis. If excised appropriately, healing is usually complete and uncomplicated.

THIS IS A CONG PREAURICULAR SKIN TAG SOMETIMES ONE MAY HAVE PRESENCE OF CONG PREAURICULAR APPENDAGE IF ASSOCIATED WITH CONG LIMBAL DERMIOD IT IS KNOWN AS GOLDENHARS SYNDROME IT WAS MAURICE GOLDENHAR AN AUSTRIAN OPHTHALMOLOGIST WHO WAS THE FIRST IN THE YEAR 1850 WHO DESCRIBED THIS SYNDROME 80 TO 85 PERECENT SUCH CASES ARE NORMAL FROM VISUAL AND MENTAL FACALITY POINT OF VIEW IT IS ONLY IN 5 TO 15 PERCENT CASES THEIR ARE ADDITIONAL CONG ANAMOLIES IF L DERMIOD IS NOT INVOLVING VISUAL AXIS PARENTRAL COUNSELLING AND OBSERVATION IS NEEDED HOWEVER IF L DERMIOD APPROACHES PUPILLARY AREA DURGERY HAD TO BE DONE

Preauricular skin tag. For cosmetic reason can be removed.

Preauricular skin tag/ supernumerary tragus Reassurance n if not satisfied then surgical excision under cosmetic surgeons knife..

Ear skin tag .

Preauricular skin tag

Preauricular tag Do USG abdomen as sometimes it is associated with renal anomalies

@Dr. Parshuram Agarwal It is definitely congenital but don't know the cause, it will definitely need treatment when the child grows up.

Skin Tag

PRE-AURICULAR TAG.

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