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Trichofolliculoma is a rare skin lesion. It is an adnexal tumor of hair follicles, which was first described by Miescher. Trichofo-lliculoma is a hamartomatous lesion of hair follicle origin, intermediate in diferentiation between a hair follicle nevus and tri-choepithelioma as classified by Kligman and Pinkus. It usually manifests clinically as a small, slowly growing, well-demarcated, flesh-colored papule on head and neck. The diagnosis is dificult clinically and is based mainly on histopatholigic appearance. It is comonly misdiagnosed as sebaceous cyst, nevus, and basal cell carcinoma. Treatment is by simple excision and recurrence is rare. sal vestibule with a review of literature. (Korean J Otolaryngol 2007 ;50 :265-7)