Abstract

Summary In 524 examinations of ears during the first week of life in healthy full-term infants, 191 ears were adequately visualized without cleansing. The progressive spontaneous clearing of vernix is evidenced by the finding of 169 visible drums in 316 examinations (53.5 per cent) of newborn infants on their fourth to sixth days of life, compared to only 22 visualizations in 208 examinations (10.5 per cent) in the first 3 days of life. The normal landmarks in the immediate postnatal period are described. Ear drums become less reddened after the first 24 hours and landmarks become clearer, but the ear drums are pinker and the landmarks less distinct than in the older child. New features described are the dorsal and ventral “fireballs,” spokelike markings, and a dorsal gray area.

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