A study of selected facial and ear dimensions in 200 term and appropri
ate-for-gestational age neonates delivered at the University College H
ospital,Ibadan, Nigeria, was carried out with the aim of describing th
eir normal range of variation and providing reference values for clini
cal use, The features studied included inner canthal distance, outer c
anthal distance, palpebral fissure length, nasolabial distance, oral i
ntercommissural length, total ear length and ear length above the eyel
ine. The inner canthal distance ranged from 1.6 to 2.5 cm with a mean
of 2.1 (SD 0.2) cm while the outer canthal distance ranged from 5.2 to
7.2 cm with a mean ok 6.1 (SD 0.4) cm. The oral intercommissural leng
th ranged from 2.5 to 4.0 cm with a mean of 3.1 (0.3) cm and the total
ear length ranged from 2.4 to 4.0 cm with a mean of 3.2 (SLP 0.3) cm,
Three per cent of the neonates had the whole ear located completely b
elow the eye line. No significant sex differences in the mean values o
f any of the dimensions studied were found, The findings of the study
are consistent with those of other workers who have documented shorter
ears in the Negro neonate compared to his Caucasian counterpart, It i
s suggested that local values derived from well-defined populations be
used as reference ins the evaluation of the child with dysmorphic fea
tures in order to avoid errors of classification due Po racial variati
ons in the range of normal.