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May 17, 1965

Ears— Sets, Sizes and Shapes

Author Affiliations

Associate Pathologist Cincinnati

JAMA. 1965;192(7):646-647. doi:10.1001/jama.1965.03080200064031

To the Editor:—  The query "What is the definition for 'low set ears'?" (QUESTIONS AND ANSWERS, JAMA191:1091 [March 29] 1965) received accurate and overly literal treatment.As a veteran "face-watcher," I have established standards of variable value for the "funny faces" of infancy and childhood. Low set ears is no more a lay term than many medical neologisms.If a line be drawn from the outer canthus of the eye to the approximate occiput, the upper attachment of the ear should lie about 1 to 2 cm below this line and the long axis of the ear should be oriented to about 90° to the "catho-occipital" angle. Bilaterai low-set, posteriorly rotated, cartilage-poor, symmetrically malformed large ears, associated with strong facial features, are seen in connection with "dry" amniotic sacs. The nose is of the "Assyrian King" type, like the people on the bas-reliefs of Ashurbanipal's tomb. The

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