The external structures of the ear may aid in diagnosing some conditions by the presence or absence of normal landmarks and abnormal features including: earlobe creases, preauricular pits, and preauricular tags. Update Date: 07/15/2008Alan Lipkin, MD, Otolargyngologist, private practice, Denver, CO. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.