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The external ear, comprising the auricle (pinna) and external auditory canal, plays a vital role in sound localization and protection of the ear canal. Anatomical variations of the external ear can occur due to genetic, environmental, and developmental factors. Understanding these variations is essential for healthcare professionals, particularly in fields such as otology, plastic surgery, and audiology. This article reviews the anatomical features and common variations of the external ear, their embryological origins, clinical implications, and relevance in surgical interventions.