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In this Wednesday, June 23, 2010, photo surgeons make surgical marks around the deformed ear of Elise Lutz, 14, during her pre-operation exam at Duke University Medical Center in Durham, N.C. Lutz's surgery involved two primary surgeons to remove the tissue and cartilage from her deformed ear, then insert titanium rods into her skull. The rods will eventually hold her new prosthetic ear. (AP Photo/Sara D. Davis)

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