The term ''low-set ears'' has been in common use for several decades t
o describe various malformation syndromes. But an accurate description
of the normal position of the auricles is lacking in relevant literat
ure. This study was designed to determine the normal position of auric
les using bony landmarks that are less variable. The normal position o
f the auricle was determined in 1,000 neonates without any obvious con
genital anomalies. A fixed bony point (point z) on the upper border of
the posterior part of the zygomatic process of the temporal bone oppo
site the condyle of the mandible was selected. This point lies in fron
t of the auricle and is easily palpable in neonates. The distance betw
een point z and the upper and lower attachments of the auricle were me
asured as well as the distance between point z and the upper and lower
poles of the auricle. The results were compared between the two sexes
and between right and left sides. There was a wide variation in the d
istances measured in normal neonates. This highlights the importance o
f redefining the term ''low-set ears.'' (C) 1997 Wiley-Liss, Inc.