Certain malformations may occur during the embryonic development of the ear. Accessory auricle has a wide range from a small elevation of skin to a large size to resemble an additional auricle, where the latter is called polyotia. This condition is defined as an accessory auricle that is large enough to closely resemble an additional pinna rather than a skin remnant and cartilage. Polyotia, also known as mirror ear or accessory ear, is a type of ear anomaly in the tragus area, but this term refers to substantial anomalies which resemble an accessory ear, unlike a pre-auricular tag.Here, we present a case of an accessory auricle in a young female adult. The occurrence was unilateral; the subject did not have any audiological disorder. A simple surgical procedure is also mentioned for excision of accessory without any complications. We compared our findings with different cases of accessory auricle in the literature. The clinical importance and genetic association are also discussed.

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