Today I Learned That Some People Are Born With Tiny Holes In Their Ears (5 Pics)

There are a lot of strange leftover parts of our body that no longer serve a functional purpose in modern life. By modern, I mean the last ten thousand years or so. Evolution is a long drawn out process and sometimes stuff just…sticks around.

There are things that are well-known, like vestigial tails or double-jointed thumbs, but right now people are discussing the hot new thing in congenital malformations: the preauricular sinuses.

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What in the heck are they? They’re sometimes called a preauricular pit, preauricular tract, or preauricular cyst, and they appear in the soft tissue at the front and top part of the ear.

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The little holes were first officially noted in 1864 in a study by a scientist Van Heusinger.

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They can appear on both sides, or just one, and they’re not just shallow pits. They connect to the sinus tract, which is not typical in humans. The path under the skin from the preauricular pit to the sinuses can be short or long, but the only external visible hint is that little pockmark in the cartilage. 

With that connection to the sinuses, there is the potential for infection. Often the pits run in families, but sometimes they can be spontaneous. They occur most frequently in East Asian populations, in about ten percent of people. About four percent of people descended from Africa will have them and 0.5 percent of European people.

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Scientist Neil Shubin works in evolutionary biology and believes the holes are related to fish gills.

He thinks all inner ears are connected to the evolutionary path from fish gills. As mammals, we assume we’re too far from the primordial ooze to show any hint of our scaled ancestors, but the story of that past is still in our bodies, even many millennia later. 

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