RT Journal A1 Méndez R, Bello A, Aymerich H, Garrido M, Tunnessen WW, Jr T1 PIcture of the month JF Archives of Pediatrics & Adolescent Medicine JO Archives of Pediatrics & Adolescent Medicine YR 1999 FD August 1 VO 153 IS 8 SP 889 OP 890 DO 10.1001/archpedi.153.8.889 UL http://dx.doi.org/10.1001/archpedi.153.8.889 AB On physical examination the girl had unilateral macrostomia as a result of a transverse right stomal cleft and a severe deformity of the right auricle, including supernumerary auricular cartilage anterior to the tragus and absence of the right ear canal (Figure 1 and Figure 2). The left ear was normal. There was no evidence of midfacial skeletal hypoplasia. The ascending ramus of the mandible and the temporomandibular joint were normal. The palate was intact. Conductive hearing loss was present in the right ear. The remainder of the physical examination results were unremarkable.