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M 5 yrs, anterior left ear dimple

Deba P Sarma, MD, Omaha

M 5 yrs, anterior left ear dimple

Diagnosis: Preauricular pit Comment: Preauricular pits are small, subtle indentations located anterior to the helix and superior to the tragus of the ear. These embryonic remnants are bilateral in up to 50% of cases and are most commonly found in Asian children. Children with preauricular pits are at five times the risk for permanent hearing impairment.

Microscopically, the preauricular pits are lined by normal squamous epithelium of the skin with all the adnexal structures, such as hair follicles, sebaceous glands and sweat glands. The wall of the pit may show cartilage of the ear. The lumen may contain keratinous material and inflammatory exudates.

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