Braz J Otorhinolaryngol. 2009;75(5):768. CASE REPORT

Ectopic Pinna

P.N.Tejankar 1, Mudit Mittal 2 Keywords: ectopic pinna.

INTRODUCTION near the External Auditory Canal. A tag the inner, middle and external can be of skin was also noticed attached to Right shown in considerable detail by Tomogra- Ectopic Pinna is rare presentation. lateral canthus of eye. Patient’s Left ear phic techniques. Congenital deformities of One very rare case of Ectopic Pinna is was within normal limit. A Hemangioma middle and external ear are seen much reported here, where the whole of the was also seen over left arm near axilla as more common than deformities of inner Pinna was located close to Lateral Canthus incidental finding. The nose and the throat ear, although combined deformities oc- of Right Eye. were normal and nothing specific was curs in about 20% of the patients.3 Anomalies of the external ear found. A detailed history of the patient may occur in isolation or associated with FINAL COMMENTS was taken including the Antenatal, Natal middle or inner ear or may be a part and Postnatal details. The patient was 1. The External Ear deformities are of wide spread syndrome. There may normal full term hospital delivery and usually associated with deformities of be Anotia, , , Polyotic, nothing significant was found in history. middle and internal ear. Synotia, Melotia, Abnormalities of lobule Patient was advised complete checkup 2. CT scan is the investigation, whi- and Abnormalities of helix etc.1 by Pediatrician to rule out any congenital ch can give a good picture of associated CASE REPORT anomaly and C.T. Scan Temporal bone to middle and inner ear anomalies, Ossicular see the Ossicular Chain status, any aber- chain continuity and aberrant course of A 21/2 year old Male child was rant course of facial nerve and to rule out facial nerve with external ear deformities. brought by his attendants to our clinic other associated congenital deformities. 3. Management of this patient ne- with abnormal position of Right Pinna. Patient was also advised to get his hearing eds combined surgical efforts of an ENT On examination Right Pinna was seen assessment done, but patient left the clinic surgeon and Plastic surgeon in stages with displaced towards the lateral canthus against medical advice. strict follow up. of the Right eye. The External Auditory canal was at its position. But Tympanic DISCUSSION REFERENCES Membrane was not seen on Otoscopy The development of the Though nothing is available regarding due to narrowing of the canal as well as begins with the appearance of six hillo- Ectopic Pinna in literature, the related patient was not co-operative. A tubercle cks around the first pharyngeal groove references are as follows: was seen over the Right Mastoid region between the first and the second arches. Three hillocks develop on the same side 1. Jani P, Wright T. Diseases of Ear: In: Lu- dman H, Wright T, editors: Congenital of the grove; but as growth proceeds Abnormalities of External and Middle Ear. they tend to become obscured and of 6th ed.: New York, London, New Delhi, those of the first (Mandibular) arch, only Arnold 1998: p.279, 284. that which later forms the Tragus can be 2. Wright A, Scott Browns Otolaryngology, obviously identified throughout the pro- Basic Sciences: In: Gleeson M, editor: cess. It seems that the bulk of the auricle Anatomy and ultra structures of the hu- is derived from the mesenchyme of the man ear: 6th ed.: London, Butterworth second (hyoid) arch.2 Heinemann International Edition, 1997: Congenital abnormalities of the p.1/1/7. ear can be shown in great details by CT if 3. Phelps PD. Diseases of Ear: In: Ludman H, there is osseous deformity but MRI is now Wright T, editor: Diagnostic imaging of Figure 1. Ectopic Pinna - Right Pinna, displaced towards the the Ear (Normal and Congenital): 6th Ed. lateral canthus of the Right eye. A tubercle present over the Right providing evidence of soft tissue lesions Mastoid region near the External Auditory Canal.A Hemangioma New York, London, New Delhi: Arnold in some cases. Structural abnormalities of over left arm.F 1998: p.116.

1 Ectopic Pinna (senior Otolaryngologist ) 2 Ectopic Pinna (resident surgical officer) Paper submitted to the BJORL-SGP (Publishing Management System – Brazilian Journal of Otorhinolaryngology) on June 18, 2007; and accepted on June 27, 2007. cod. 4618

Brazilian Journal of Otorhinolaryngology 75 (5) September/October 2009 http://www.bjorl.org / e-mail: [email protected] 768