The small eye above the ear, also known as granularity, is an autosomal dominant disorder. Its scientific name is congenital preauricular fistula, which is caused by poor fusion of the six small mound-like nodules in the 1st and 2nd gill arches that form the auricle during embryonic life, or incomplete closure of the 1st gill sulcus. It can have a prevalence of 1.2% and can occur unilaterally or bilaterally, and is more common in males than females. The opening of the congenital preauricular fistula is very small, mostly located in front of the pedicle of the ear, followed by the base of the pedicle or the anterior part of the ear, and rarely in the triangular fossa of the auricle or in the cavity of the earnail, and in severe cases even extending to the posterior region of the ear. Congenital preauricular fistulas are not inflamed and should not be treated specially. If they become infected, it is recommended that they be removed promptly and completely.