Accessory Tragus: Congenital Ear Growths and Their Treatment

Written by Medicover Team and Medically Reviewed by Dr Suresh K , Plastic Surgeon


In recent years, the world of ear piercings has seen an intriguing evolution, with accessory tragus piercings emerging as a popular trend. While tragus piercings have long been a staple in the realm of ear accessories, the accessory tragus piercing is gaining attention for its unique aesthetic and the nuanced understanding it brings to the anatomy of the ear.

What Is the Accessory Tragus?

The term "accessory tragus" refers to a small, congenital skin tag located near the tragus, thesmall pointed eminence of the external ear. This anomaly is a benign, developmental defect that occurs during embryonic development when the auricular hillocks, which form the external ear, develop abnormally. The accessory tragus can be composed of skin, fat, cartilage, or a combination of these tissues.


Accessory Tragus vs. Preauricular Tag

It is crucial to differentiate between an accessory tragus and a preauricular tag. While both are congenital and benign, an accessory tragus is typically located closer to the tragus or on the face near the ear, whereas a preauricular tag is often found along the line of the cheek in front of the ear. Understanding this distinction is essential for accurate diagnosis and treatment planning.


What are the Accessory Tragus Symptoms and Warning Signs?

Accessory Tragus typically presents as a small bump or tag near the front of the ear. Recognizing symptoms early helps in timely management.

  • Small, skin-colored or pigmented bump near the tragus
  • Presence of soft or cartilaginous tissue in the tag
  • Usually painless and asymptomatic
  • Infection or inflammation of the accessory tissue
  • Associated ear deformities or hearing difficulties

What Are the Common Causes of Accessory Tragus?

The development of an accessory tragus is attributed to embryological anomalies. During fetal development, the first and second pharyngeal arches give rise to the auricular hillocks, which form the outer ear.

Any disruption in this process can result in accessory tragus formation.Although the exact cause of this disruption is not always clear, genetic factors and environmental influences during pregnancy may play a role.


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Potential Risks and Complications of Accessory Tragus

Here's a more concise version of the potential Accessory tragus cause of risks and complications:

  • Infection
  • Scarring
  • Bleeding
  • Keloid Formation
  • Damage to Nearby Structures
  • Regrowth
  • Emotional Impact
  • Accessory Tragus Syndrome

How is an Accessory Tragus Diagnosed?

Diagnosis is based on a clinical examination by a healthcare provider, it may include:

Symptoms and Identification

The accessory tragus usually presents as a small, flesh-colored bump near the tragus of the ear. It is often discovered at birth or in early childhood. In most cases, it is asymptomatic and poses no health risk.

Clinical Examination

Diagnosis of an accessory tragus typically involves a clinical examination by a healthcare professional. The examination includes a detailed assessment of the size, texture, and location of the skin tag. In some cases, imaging studies like ultrasound or MRI may be recommended to evaluate the underlying structures and rule out associated anomalies.


What Are the Treatment Options for Accessory Tragus?

Accessory tragus is usually harmless, but treatment may be recommended for cosmetic reasons or if it causes discomfort. Below are the most common treatment options based on its size and structure.

Non-Surgical Management

In many cases, especially when the accessory tragus is small and not causing any issues, no treatment is needed. It's a harmless birthmark-like feature, and regular check-ups may be enough to monitor for changes.

When Surgery Is Recommended

Surgical removal may be considered if the accessory tragus:

  • Causes cosmetic concerns
  • Becomes irritated or infected
  • Contains deeper tissue or cartilage

Surgery is usually simple and done under local anesthesia. The goal is to remove the skin tag and any underlying tissue to prevent recurrence and improve appearance.

Types of Accessory Tragus and Surgical Approach

  • Type I (Skin Tag Only): Made of skin with little to no fat or cartilage. A quick, simple excision is usually all that's needed.
  • Type II (Fat and Connective Tissue): Includes fatty tissue beneath the skin. Removal requires careful dissection of both front and back tissue layers for the best result.
  • Type III (Cartilage or Deep Tissue): Found in areas like the cheek or neck, these may contain cartilage and sit close to nerves. Removal must be done with great care to avoid damaging nearby structures.

When to See a Doctor?

An Accessory Tragus is a small extra piece of skin or cartilage near the ear. It is usually present from birth and doesn't cause problems for most people.

You should see a doctor if:

  • The extra skin or bump becomes painful, red, or swollen
  • It gets infected or starts draining fluid
  • You want it removed for cosmetic reasons or if it causes discomfort

If you notice changes or have concerns about the bump, it's a good idea to get it checked by a doctor.


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Accessory Tragus in Newborns

In some cases, that can be present in accessory tragus newborns, often as a small bump near the ear. While most of these are harmless, it's essential for parents to monitor them and consult a healthcare professional to rule out any related syndromes.


Our Experience Treating Accessory Tragus

At Medicover, we understand that even small concerns like an Accessory Tragus can affect how you feel about your appearance or comfort.

We offer:

  • Careful examinations to make sure it's harmless
  • Simple removal procedures if needed, done safely and with minimal scarring
  • Support and advice on healing and care after treatment

Our team is here to provide gentle and expert care to help you feel confident and comfortable.


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Frequently Asked Questions

Yes, an accessory tragus is a minor congenital birth defect formed during early fetal development. It appears as a small skin tag near the ear and is generally harmless.

It can be safely removed in infancy or childhood, often around age 1 or older, depending on the size, location, and if it's causing any issues. Your doctor will help decide the best timing.

Yes, removal can leave a small scar, though it's usually minimal. Scar appearance depends on the size of the tragus, surgical technique, and individual healing.

Once completely removed, it usually does not grow back. However, if tissue remains, a small regrowth is possible, which can be treated with follow-up surgery.

Sometimes. Though often isolated, it can be associated with syndromes like Goldenhar or branchio-oto-renal syndrome. A medical evaluation can rule out other anomalies.

No, it typically doesn't affect hearing or ear function. It's a superficial skin structure and doesn't involve the ear canal or inner ear components.

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