A Darwinian tubercle is a portion of the ear thickened near the superior and middle pole of the ear. Darwinian tubercle’s are common variants of a normal ear seen in approximately 10% of the population. In some patients, the size, shape, or asymmetric nature of a Darwinian tubercle can be a source of frustration. Decreasing the tubercle can be accomplished at the same time as an otoplasty by shaving down the helix. In cases of isolated Darwinian tubercle issues or with large tubercles, an anterior approach can be utilized.
