Question: A 3 year old is evaluated for hearing loss. He exhibits wide-set, protruding eyes, a prominent and long forehead, and a depressed midface. Audiogram demonstrates bilateral conductive hearing loss with type As tympanograms. Your medical student proposes that the child has Crouzon syndrome, but you astutely examine the patient’s hands and find syndactyly. What is the most likely diagnosis?

[Answer will be posted with next week's new question]

Answer to last week's question, "Controlled Burn" (September 17, 2018)

E. Reticular dermis.