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Abnormal tragus morphology

MedGen UID:
869734
•Concept ID:
C4024162
•
Anatomical Abnormality
Synonym: Abnormality of the tragus
 
HPO: HP:0009912

Definition

An abnormality of the tragus. [from HPO]

Professional guidelines

PubMed

Variant Types of Preauricular Sinuses: Classifications, Clinical Presentation and Management.
Chen J, Zhou P, Zuo J, Ming W, Huang T, Tao Z
Laryngoscope 2024 Aug;134(8):3839-3845. Epub 2024 Mar 11 doi: 10.1002/lary.31378. PMID: 38466172

Recent clinical studies

Etiology

Tragal remnant flap reconstruction method for congenital tragal malformation in children.
Huang Z, Li Q
Int J Pediatr Otorhinolaryngol 2022 Jun;157:111144. Epub 2022 Apr 14 doi: 10.1016/j.ijporl.2022.111144. PMID: 35443231
Rhabdomyomatous mesenchymal hamartoma developed at an unexpected location.
Sayan A, Diniz G, Mert M, Yildirim Ekin Z, Koyluoglu G
Arch Argent Pediatr 2019 Oct 1;117(5):e519-e522. doi: 10.5546/aap.2019.eng.e519. PMID: 31560504
Cervical Chondrocutaneous Branchial Remnants.
Klockars T, Kajosaari L
Cleft Palate Craniofac J 2017 Mar;54(2):223-226. Epub 2015 Jul 8 doi: 10.1597/15-019. PMID: 26153756
Management of First Branchial Cleft Anomalies via a Cartilage-Splitting Technique.
Schmidt R, Conrad D, Field E, O'Reilly R
Otolaryngol Head Neck Surg 2015 Jun;152(6):1149-51. Epub 2015 Mar 24 doi: 10.1177/0194599815577357. PMID: 25805642
Two-stage reconstruction of the auricle in congenital microtia using autogenous costal cartilage.
Cho BC, Kim JY, Byun JS
J Plast Reconstr Aesthet Surg 2007;60(9):998-1006. Epub 2007 Mar 12 doi: 10.1016/j.bjps.2005.12.052. PMID: 17662464

Diagnosis

Case series of neck accessory tragus.
Yin XF, Shi J, Hua ZX, Miao X, Zhou BR
J Cosmet Dermatol 2019 Dec;18(6):1800-1802. Epub 2019 Apr 18 doi: 10.1111/jocd.12912. PMID: 31001879
Management of First Branchial Cleft Anomalies via a Cartilage-Splitting Technique.
Schmidt R, Conrad D, Field E, O'Reilly R
Otolaryngol Head Neck Surg 2015 Jun;152(6):1149-51. Epub 2015 Mar 24 doi: 10.1177/0194599815577357. PMID: 25805642
A rudimentary tragus in the nasopharynx: case report, literature review, and discussion of embryologic development.
Hendizadeh L, Zaghi S, Guzman C, Haydel D, Koempel J
Int J Pediatr Otorhinolaryngol 2013 Aug;77(8):1378-80. Epub 2013 Jun 27 doi: 10.1016/j.ijporl.2013.05.041. PMID: 23810447
Accessory tragus: report of two cases and review of the literature.
Jansen T, Romiti R, Altmeyer P
Pediatr Dermatol 2000 Sep-Oct;17(5):391-4. doi: 10.1046/j.1525-1470.2000.017005391.x. PMID: 11085670
The accessory tragus--no ordinary skin tag.
Sebben JE
J Dermatol Surg Oncol 1989 Mar;15(3):304-7. doi: 10.1111/j.1524-4725.1989.tb03164.x. PMID: 2646335

Therapy

Reconstruction of the Deformed Tragus Accompanied by Accessory Auricle.
Chen Y, Wei S, Hao D, Xia W, Ma X, Dong L
Aesthet Surg J 2023 Aug 17;43(9):NP687-NP695. doi: 10.1093/asj/sjad146. PMID: 37184121
Topographic Anatomy of the Zygomatico-Orbital Artery: Implications for Improving the Safety of Temporal Augmentation.
Liu S, Yan W, Wang G, Zhao R, Qiu H, Cao L, Wang H
Plast Reconstr Surg 2021 Jul 1;148(1):19e-27e. doi: 10.1097/PRS.0000000000008100. PMID: 34003805
Management of First Branchial Cleft Anomalies via a Cartilage-Splitting Technique.
Schmidt R, Conrad D, Field E, O'Reilly R
Otolaryngol Head Neck Surg 2015 Jun;152(6):1149-51. Epub 2015 Mar 24 doi: 10.1177/0194599815577357. PMID: 25805642
Subfascial expansion and expanded two-flap method for microtia reconstruction.
Park C
Plast Reconstr Surg 2000 Dec;106(7):1473-87. doi: 10.1097/00006534-200012000-00005. PMID: 11129174

Prognosis

Transfer of the deep temporal nerve for eyelid reconstruction in Mobius syndrome - an anatomic feasibility study and proposed surgical approach.
Staples JW, Zuker RM, Borschel GH
J Plast Reconstr Aesthet Surg 2022 Jan;75(1):265-270. Epub 2021 Jun 12 doi: 10.1016/j.bjps.2021.05.059. PMID: 34305023
Clinical Efficacy of a Modified Nagata Method That Retains the Fascia Pedicle of the Mastoid Skin Flap in Auricular Reconstruction of Chinese Microtia Patients.
Wang WS, Yan DM, Chen JY, Zhang D, Shao Y, Peng WH
Plast Reconstr Surg 2016 Mar;137(3):977-979. doi: 10.1097/01.prs.0000479997.42304.cc. PMID: 26910682
Management of First Branchial Cleft Anomalies via a Cartilage-Splitting Technique.
Schmidt R, Conrad D, Field E, O'Reilly R
Otolaryngol Head Neck Surg 2015 Jun;152(6):1149-51. Epub 2015 Mar 24 doi: 10.1177/0194599815577357. PMID: 25805642
Two-stage reconstruction of the auricle in congenital microtia using autogenous costal cartilage.
Cho BC, Kim JY, Byun JS
J Plast Reconstr Aesthet Surg 2007;60(9):998-1006. Epub 2007 Mar 12 doi: 10.1016/j.bjps.2005.12.052. PMID: 17662464
Ear reconstruction in cases of typical microtia. Personal experience based on 352 microtic ear corrections.
Firmin F
Scand J Plast Reconstr Surg Hand Surg 1998 Mar;32(1):35-47. doi: 10.1080/02844319850158930. PMID: 9556819

Clinical prediction guides

Relocation of polyotia tissue to reconstruct the tragus and fill the preauricular depression.
Deng Y, Jiang H, Pan B, Li C
Int J Pediatr Otorhinolaryngol 2024 May;180:111937. Epub 2024 Apr 3 doi: 10.1016/j.ijporl.2024.111937. PMID: 38613904
Reconstruction of the Deformed Tragus Accompanied by Accessory Auricle.
Chen Y, Wei S, Hao D, Xia W, Ma X, Dong L
Aesthet Surg J 2023 Aug 17;43(9):NP687-NP695. doi: 10.1093/asj/sjad146. PMID: 37184121
Simultaneous Bilateral Microtia Reconstruction Using Single-Expanded Postauricular Flap Without Skin Grafting.
Xing W, Wang Y, Qian J, Wang B, Zhou X, Liu T, Zhang Y, Zhang Q
Ann Plast Surg 2018 Dec;81(6):669-674. doi: 10.1097/SAP.0000000000001628. PMID: 30412057
Health-related quality-of-life assessment and surgical outcomes for auricular reconstruction using autologous costal cartilage.
Soukup B, Mashhadi SA, Bulstrode NW
Plast Reconstr Surg 2012 Mar;129(3):632-640. doi: 10.1097/PRS.0b013e3182402ca7. PMID: 22373970
Correction of microtia with construction of the tragus using a chondrocutaneous flap.
Ono I, Ohura T, Kimura C, Murazumi M, Sakamura R, Misawa HT
Br J Plast Surg 1991 May-Jun;44(4):250-8. doi: 10.1016/0007-1226(91)90066-s. PMID: 2059781

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