Pedunculated tragal dermoid cyst misdiagnosed as an accessory tragus

I encountered an ovoid mass that blocked the opening of a patient's right ear, and initially thought that it was an accessory tragus. Unusually, the cyst had developed on the tragus of the ear and was pedunculated with a linear stalk from the tragal cartilage. To the best of my knowledge, this is the first report of a dermoid cyst that involved the tragal cartilage, and was completely excised.