A careful search of the literature1 failed to reveal a case in which skeletal traction had been used in the treatment and the correction of micrognathy with cleft palate, and because of the successful result in this case, it is perhaps worthy of report. As marked dyspnea, difficulty in swallowing and inability to nurse were all present, I was unable to accomplish anything with the lip-guard nipple apparatus suggested by Dunn and Davis,1e nor was I able to keep the mandible forward sufficiently to relieve the symptoms by bringing a brace up behind the mandibles, as suggested by Eley and Farber.1d
REPORT OF A CASE
Baby C, a girl aged 3 days, was brought about 200 miles (3.2 kilometers), from Idaho, to Dr. Wilkie Blood, a pediatrician of Salt Lake City, for relief of dyspnea and cyanosis. The history consisted of one salient fact, that since the
CALLISTER AC. HYPOPLASIA OF THE MANDIBLE (MICROGNATHY) WITH CLEFT PALATETREATMENT IN EARLY INFANCY BY SKELETAL TRACTION. Am J Dis Child. 1937;53(4):1057–1059. doi:10.1001/archpedi.1937.04140110127014
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