Question: Using the Sixth Edition, how would you rate a 49-year-old man who had a traumatic auricular (ear) avulsion and now has a prosthetic ear? I understand that this would be rated using Table 11-5, Criteria for Rating Impairment Due to Facial Disorders and/or Disfigurement (6th ed, 262), and that history is the key factor. I do not know how to consider the impact of the prosthesis and what class to put this patient in. Section 2.4e, Using Assistive Devices in Evaluations (6th ed, 25), provides guidance, but it is not directly applicable to auricular loss. The patient has no interference with activities of daily living and no hearing impairment. A prior physician rated the patient at 0% whole person impairment (WPI) and then rerated him at 20% WPI.

Answer: Loss of the pinna (visible external ear) is...

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