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Congenital Micrognathia
CHESTER M. WESEMAN, M.D.
AMA Arch Otolaryngol. 1959;69(1):31-44.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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Introduction
Pierre Robin,25 in 1923, published a paper describing a syndrome encountered in the newborn, consisting of hypoplasia of the mandible, glossoptosis, and consequent respiratory and feeding difficulty. The anatomy pertinent to this syndrome is seen in Figure 1, which illustrates the attachment of the genioglossus muscle to the symphysis of the mandible. Shortening of the mandibular arch permits the tongue to fall back and thereby reduce the size of the hypopharynx. This condition is known as the Pierre Robin syndrome, and is referred to variously as "micrognathia," "micrognathy," "hypoplasia of the mandible," "receding chin and glossoptosis," "micrognathia with obstruction," and "ateliosis of the mandible."
Respiratory obstruction is the most important feature of this syndrome. If the obstruction is not satisfactorily relieved by placing the patient on his side or face, or if feeding is accompanied by repeated episodes of aspiration, the patient is in grave danger. It is
. . . [Full Text PDF of this Article]
Author Affiliations
Berkeley, Calif.
From the Department of Otolaryngology, Children's Hospital of the East Bay, Oakland, Calif.
Footnotes
Submitted for publication April 4, 1958.
Presented as a candidate's thesis in partial fulfillment of the requirements for membership in the American Laryngological, Rhinological and Otological Society, Inc.
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