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A Case of Accessory Tragus on the Neck

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초록

Accessory tragus is an embryologic developmental anomaly of the external ear. It is usually presented as congenital, firm papules located anterior to tragus; but rarely, it apprears along an imaginary line drawn between the pretragal and the angle of the mouth, or on the neck along the anterior edge of the sternocleidomastoid muscle and the sternoclavicular region. Histologically, there are numerous follicles, prominent connective tissue framework in the subcutaneous fat and central core of cartilage. The diagnosis is made by the age of onset, site of localization, and affirmative histopathology. We herein report a unique case of cervical accessory tragus on the suprasternoclavicular region in an 8 year-old-boy along with a study of embryological review and differential diagnosis. (Korean J Otorhinolaryngol-Head Neck Surg 2008;51:928-30)

Abstract

Accessory tragus is an embryologic developmental anomaly of the external ear. It is usually presented as congenital, firm papules located anterior to tragus; but rarely, it apprears along an imaginary line drawn between the pretragal and the angle of the mouth, or on the neck along the anterior edge of the sternocleidomastoid muscle and the sternoclavicular region. Histologically, there are numerous follicles, prominent connective tissue framework in the subcutaneous fat and central core of cartilage. The diagnosis is made by the age of onset, site of localization, and affirmative histopathology. We herein report a unique case of cervical accessory tragus on the suprasternoclavicular region in an 8 year-old-boy along with a study of embryological review and differential diagnosis. (Korean J Otorhinolaryngol-Head Neck Surg 2008;51:928-30)

참고문헌 (11)

  1. Wareing MJ, "Development of the Ear, in : Head & Neck Surgery-Otolaryngology", pp.1869~1871 (2006), LIPPINCOTT WILLIAM & WILKINS
  2. Sebben JE, "The accessory tragus-no ordinary skin tag", J Dermatol Surg Oncol, 15(3), pp.304~307 (1989)
  3. Teja K, "Familial occurrence of accessory tragus", J Pediatr Surg, 16(5), pp.725~726 (1981)
  4. Brownstein MH, "Accessory tragi", Arch Dermatol, 104(6), pp.625~631 (1971)
  5. Melnick M, "External ear malformations: Epidemiology, genetics, and natural history", Birth Defects Orig Artic Ser, 15(9), pp.1~140 (1979)
  6. Ostmann P, "Die Missbildungen des ausseren Ohres unter den Volksschulkindern des Kreises Marburg", Arch Ohrheilk, 58, pp.168~170 (1903)
  7. Siemens HW, "Zur Kenntnis der sogenannten Ohr- und Halsanhange (branchiogene Knorpelnaevi)", Arch Dermatol Syphilo, 132, pp.186~205 (1921)
  8. Wiechmann A, "Bericht uber die in den Jahren 1983 bis 1. juli 1912 in der Koniglichen Universitats-Poliklinik fur Ohren-, Nasen- und Halskrankheiten in Gottingen beobachteten angeborenen Missbildungen des Ohres (Dissertation)", 박사, pp.1912
  9. Guszman J, "Beitrage zur Lehre der branchiogenen Ohrund Halsanhange", Z Ges Anat, 81, pp.554~562 (1926)
  10. Jansen T, "Accessory tragus: Report of two cases and review of the literature", Pediatr Dermatol, 17(5), pp.391~394 (2000)
  11. Satoh T, "Histological diagnostic criteria for accessory tragi", J Cutan Pathol, 17(4), pp.206~210 (1990)

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