Pierre robin sequence
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A full-term, baby girl with multiple congenital anomalies was born to a G4P2 mother. Three-dimensional CT reconstructions of the mandible reveal prominent retromicrognathia. Note the zygomatic arch and external auditory canal are preserved. Sagittal NECT demonstrates glossoptosis (ie, posteroinferior displacement of the tongue, causing obstruction of the oropharynx). The hard palate is shortened in length. The patient subsequently underwent glossopexy to advance the tongue. Axial NECT shows U-shaped cleft palate. KUB performed on Day 2 of life demonstrates three things: 1) segmentation of the posterior ribs with apparent pseudoarthroses; 2) 10 paired ribs and 3) age-appropriate bone mineralization.Imaging findings confirmed diagnosis Pierre Robin sequence (PRSe). Differential diagnosis includes velocardiofacial syndrome (Shprintzen-Goldberg syndrome), Stickler syndrome, and Treacher-Collins syndrome (mandibulofacial dysostosis).

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