The spelling of the word "pachyotia" is quite unique as compared to other English words. It is pronounced as /pækɪˈoʊtiə/ with six syllables. The word is believed to have originated from the Greek word "pachy-", meaning thick, and "otia", meaning ear disease. The spelling of the word represents the sounds of each syllable, with the "ch" representing the /k/ sound, and the "o" and "i" representing the vowel sounds with an unstressed schwa sound /ə/. Overall, the spelling of "pachyotia" is a combination of its Greek and English roots.
Thickness and coarseness of the auricles.
A practical medical dictionary. By Stedman, Thomas Lathrop. Published 1920.