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Case Reports
April 1933


Am J Dis Child. 1933;45(4):799-806. doi:10.1001/archpedi.1933.01950170113007

A search of the literature on micrognathia reveals few suggestions for correction of this deformity other than appliances that have the disadvantages of being cumbersome, difficult of retention, insanitary and requiring a closed mouth.1 As dyspnea is an ever present symptom, any apparatus that causes pressure and decrease in size of the airways seems illogical. Considerable study has evolved the form of treatment suggested in the case report that follows. Early recognition and treatment over a long period of time (two years as a minimum) are imperative.

REPORT OF CASE  A boy, aged 3 weeks, was brought to the Stanford Children's Clinic for closure of a cleft palate, form 6, Brophy classification.1dOn examination, the child was found to be normal in all respects except for the cleft involving the soft tissues of the palate and a marked distal relation of the mandible. The history was irrelevant, neither

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