Micrognathia

Micrognathia

Micrognathia refers to a smaller than normal lower jaw. A child with micrognathia has a much shorter lower jaw than the rest of his face.

Causes and risk factors

Micrognathia occurs as a result of genetic mutations or certain inherited disorders. They include Pierre-Robin syndrome, trisomy 13, trisomy 18, achondrogenesis, progeria, Treacher-Collins syndrome, cri-du-chat syndrome, Marfan syndrome, Russell-Silver syndrome, Turner syndrome.

Clinical presentation

This condition can make feeding the infant difficult. Abnormal alignment of the teeth may occur.

Investigations

Medical history by the patient and clinical examination by the doctor helps in diagnosis. Diagnosis can be made on the basis of the appearance of the jaw in accordance with the rest of the face. X-ray of jaw can be taken for confirmation.

Treatment

Treatment depends upon the underlying cause. Special feeding techniques or equipment may be used to feed the infant. Use of orthodontic devices are helpful. Corrective surgery to extend the lower jaw may be required.

Complications

Complications such as misaligned teeth, difficulty in feeding or eating can occur.

When to Contact a Doctor  

One must consult a doctor if the baby’s jaw seems inappropriately small or if he/she experiences feeding difficulties.

Systems involved

Musculoskeletal system

Organs involved

Jaw, mouth

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