Sunday, September 23, 2007

What Are "Accessory Tragi"?

What Are "Accessory Tragi"?

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QUESTION: After a careful general and routine examination of my youngster,
the doctor described several small fleshy bumps in front of her ear as
"accessory tragi". He did not make too much of them so I didn't either, but
now I am concerned. What are they? Are they dangerous, and should they be
removed?
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ANSWER: No, accessory tragi aren't dangerous. One of the whorls of the
external ear (which is mostly cartilage and skin) is called the tragus and
these bumps are really slightly misplaced pieces of that portion of the ear.
They are a common variation of the structure of the ear, and by themselves are
harmless.
But accessory tragi can be markers for serious birth defects such as
heart, kidney, spine and intestinal malformations. The bumps may also
accompany cleft lip or palate. A baby born with accessory tragi is closely
examined for more serious problems. Since these conditions would have shown
up by now, we can assume that your daughter is healthy, and the fact that your
doctor was not too concerned is also reassuring.
Accessory tragi are very small and may be noticeable only to the person
who has them. If your daughter is bothered by their appearance, they can be
easily removed by your family physician or a surgeon.

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