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In Reply.—We thank Dr Carrillo for his comments concerning the hypothesis for the groove formation secondary to oral endotracheal intubation. We do not know what effect the absence of tongue pressure against the palatal shelves would have on development of the palate. Even with securing the endotracheal tube at the corner of the mouth, it is still likely that the tube would exert pressure at the posterior portion of the palate in the midline, contributing to groove formation. We appreciate the interest in this problem and are hoping to determine whether these palatal grooves are permanent over the next several years.
NOWAK AJ, ERENBERG A. Palatal Groove Formation and Oral Endotracheal Intubation-Reply. Am J Dis Child. 1985;139(9):860. doi:10.1001/archpedi.1985.02140110013009