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Clinical Note |

Microglossia in a Newborn A Case Report and Review of the Literature

Stanley Voigt, MD; Aric Park, MD; Andrew Scott, MD; Mark A. Vecchiotti, MD
Arch Otolaryngol Head Neck Surg. 2012;138(8):759-761. doi:10.1001/archoto.2012.1324.
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Microglossia is a very rare condition, with approximately 50 cases reported in the literature to date. Frequently, this disorder presents in association with limb abnormalities and is grouped as a hypoglossia-hypodactylia syndrome.1,2 In this report we discuss a case of isolated microglossia, its workup, and management.

Correspondence: Stanley Voigt, MD, Department of Otolaryngology–Head and Neck Surgery, Tufts Medical Center, 800 Washington St, Boston, MA 02111 (SVoigt@tuftsmedicalcenter.org).

Submitted for Publication: December 11, 2011; final revision received April 2, 2012; accepted April 17, 2012.

Author Contributions: All authors had full access to all the data in the study and take responsibility for the integrity of the data and the accuracy of the data analysis. Study concept and design: Voigt, Park, Scott, and Vecchiotti. Acquisition of data: Voigt, Park, and Vecchiotti. Analysis and interpretation of data: Voigt, Scott, and Vecchiotti. Drafting of the manuscript: Voigt and Scott. Critical revision of the manuscript for important intellectual content: Voigt, Park, and Vecchiotti. Administrative, technical, and material support: Voigt. Study supervision: Park, Scott, and Vecchiotti.

Financial Disclosure: None reported.

Previous Presentation: This study was presented at the Triological Society Combined Sections Meeting; February 5, 2010; Orlando, Florida.

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Figure 1. Physical examination findings in the oral cavity. Note the vestigial anterior two-thirds of the tongue bud present.

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Figure 2. Computed tomographic scan of the neck with contrast obtained in the neonatal period. Soft-tissue windows with sagittal reformation demonstrate a striking difference in diminished size and bulk of the anterior tongue musculature vs the normal posterior tongue. The density of the anterior and posterior tongue are similar and consistent with that of normal tongue musculature. Note the posterior and superior position of the diminutive anterior tongue; this glossoptosis is associated with micrognathia, which is also apparent on the study.




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