Congenital malformation of the secondary ear is very common, with different manifestations, the most common is one or more meatus in front of the ear, the size varies, folklore is called “tethered horse pile”, more even from the ear screen to the corner of the mouth on the line have meatus-like tissue, some lower can feel cartilage-like tissue, some serious cases also have one side of the corner of the mouth split, poor development of the mandible, half of the face is smaller than the opposite side. In some severe cases, the corners of the mouth are split on one side, the mandible is poorly developed and half of the face is smaller than the other side. In some severe cases, one side of the mouth is split, the mandible is poorly developed, and one half of the face is smaller than the other.