Bilateral symmetrical maldevelopment of the external ear and middle-ear cleft with pharyngeal and soft palate defects

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Abstract
An unusual combination of first and second arch anomlies is presented. This has resulted in absent middle and external ears with gross naso- and oropharyngeal defects. A brief reference is made to the embryology of this region to explain the anatomical and functional defects. Vascular abnormality during the peri-gestational period is suggested as a possible cause and a conservative line of treatment has been followed with good result.

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