My endeavor in this paper is to present the common congenital deformities of the external ear and their effect on the mental outlook of the patient.
These deformities vary from complete absence of the ear to the oversized and flopped type. The following cases are examples of the varieties that appear in the plastic clinic of J. Eastman Sheehan.
Figure 1 shows a typical case of microtia. For infants and young children who present deformities of this kind, past experience leads me to recommend only the surgical procedure that aids in normal development, and to defer all major work until the patient is 16 years of age.
Figures 2 and 3 undoubtedly show the effects of undue intra-uterine pressure, because in each instance the head is smaller on the side of the deformity; in one case the arm on that side is underdeveloped. These deformities were dealt with by freeing
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