Fig. 136. Fig. 137.
Author’s Method.
The parts are brought together and sewn into position, as shown in [Fig. 137].
AURICULAR APPENDAGES
Small nipplelike projections of skin or elongated tumefactions of connective tissue are sometimes found about the tragus, the lobule, or on the neck. They are easily removed by encompassing their bases with an elliptical incision and amputating them a little below the level of the skin and suturing the wound in linear form.
POLYOTIA
Auricular appendages may contain small pieces of cartilage or resemble crudely the auricle in miniature. This condition is termed polyotia. One or more of these supernumerary ears may be found anterior or posterior to the true ear or even below it on the skin of the neck.
In the case reported by Wilde there were four ears, the two abnormal ones being situated on the neck at either side. Langer has reported a similar case. The condition may be unilateral or bilateral.
This congenital malformation is corrected by simple amputation, as described under minor auricular appendages.