Abstract

A late preterm male baby was born normal vaginal delivery to G2 A1 mother. The infant had normal Apgar scores of 7/8/8 at 1, 5 and 10 minute respectively. At birth baby was diagnosed to have preauricular tags (Figure 1), left mandibular hypoplasia (Figures 2 and 3), hypertelorism, high arched palate. There was no genital, crease or anorectal abnormality. The infant was evaluated with whole body Xray, USG-KUB, head ultrasound and echocardiography. Echocardiography showed normal study and ultrasound KUB was suggestive of prominent left pelvicalyceal system with no other significant abnormality. Head ultrasound done was not suggestive of nay abnormality. X-ray of left mandibular taken was suggestive of congenital agenesis of left mandibular bone (Figure 4). The provisional diagnosis of craniofacial microsomia was made.

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