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ENT General c7ac42c3

Which of the following structure is NOT present at bih?

A
Ethmoid sinus
B
Mastoid tip
C
Incus
D
Malleus
High-Yield Explanation
Mastoid tip is absent at the time of bih but mastoid antrum is present. Postnatally, mastoid air cells develop leading to formation of mastoid process (by about 2 years ago). At bih, only the maxillary and ethmoidal sinuses are present and are large enough to be clinically significant. Malleus and incus are derived from Meckel's cailage of the first branchial (pharyngeal) arch before bih. .

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