Atresia of the external acoustic meatus in prehistoric populations

A case of atresia of the external acoustic meatus is presented from a prehistoric Late Woodland site in Iowa. The affected individual was a female aged 30 to 40 years. The left temporal bone displayed a thin bony plate occluding the external acoustic canal. No evidence of middle ear or inner ear malformation was observed on the axial tomographs, although the external canal was shortened. The individual is diagnosed as having a mild case of congenital atresia. The report extends the geographical and temporal distributions of this archaeologically rare condition.