Introduction. Literature on ideal management of accessory auricles is limited. Traditionally, accessory auricles are managed by\npaediatricians with suture ligation at the base of the accessory auricle to induce ischaemic necrosis (Mehmi et al, 2007). This\nmethod can be associated with complications and poor cosmesis thus leading to the vogue of surgical excision ( Frieden et al, 1995;\nSebben, 1989). We present our experience in managing these lesions in children with the application of a titanium clip in a onestop\noutpatient setting. Methods. Data was collected retrospectively through review of patient records and telephone questionnaire\nidentifying outcomes fromthe parents� perspective. Results.Of 42 patients, 24 (57.1%) responded. Eleven (26.2%) underwent surgical\nexcision, 6 (14.3%) had no intervention, and 1 (2.4%) was not contactable. All parents were happy with the outcome and would\nrecommend this management to other parents. Twenty-three (96%) had no complications apart froma tiny residual nubbin, which\nwas considered cosmetically acceptable. One child had a residual nubbin that grew in size requiring surgical excision at later stage.\nConclusion. Management of accessory auricles by the application of a titanium clip in one-stop outpatient setting is safe, simple,\nquick, and well tolerated with no need for admission, anaesthesia, or followup due to the low complication rate.
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