“…They may be associated with other anomalies of the first branchial arch, such as cleft lip and palate, branchial fistulae, and hyperplasia of the mandible, or they can be a feature of more complex developmental abnormalities, such as oculoauriculovertebral syndrome (Goldenhar syndrome), mandibulofacial dysostosis (Treacher Collins syndrome), and otomandibular dysostosis (hemifacial microstomia) (1)(2)(3)5). Of these, accessory tragi are a constant component of Goldenhar syndrome only, in which they contribute to the pathognomonic triad together with epibulbar dermoids or lipodermoids and vertebral anomalies (6,8). The occurrence of accessory tragi in combination with various anomalies suggests that Goldenhar syndrome, as well as isolated accessory tragi, may simply be a gnwiation in severity of a complex, unique error in morphogenesis that may be designated as the facioauriculovertebnd spectrum (9,10).…”