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Clinical Pediatrics
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Micrognathia and Glossoptosis in the Newborn

Surgical Tacking of the Tongue in Small Jaw Syndromes

Donald B. Hawkins

University of Southern California School of Medicine, Pediatric Otolaryngology Section, 1200 North State Street, Box 296, Los Angeles, Calif. 90033

John V. Simpson

University of Southern California School of Medicine, Pediatric Otolaryngology Section, 1200 North State Street, Box 296, Los Angeles, Calif. 90033

This report discusses airway obstruction in newborn infants with micrognathia and glossop tosis, and describes three patients who required surgical relief of obstruction from glossoptosis. In two, glossoptosis was controlled by construction of lingual-labial flaps under local anesthesia. The third required tracheostomy because of absence of the mandibular symphysis; to be effective, a lingual-labial flap requires a complete mandibular arch for support.

The lingual-labial flap is the best surgical procedure for glossoptosis of the newborn. It can be constructed under local anesthesia in the nursery or in the operating room. It holds the tongue forward, yet it allows adequate tongue mobility for feeding. Composed of the patient's own tissues, it can remain for an indefinite time.

Clinical Pediatrics, Vol. 13, No. 12, 1066-1073 (1974)
DOI: 10.1177/000992287401301218
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