By Arnold J. Rudolph Arnold J. Rudol Arnold J. Rudolph MD

Colour atlas of neonatology. quantity 3 of a 5 quantity set protecting a whole diversity of dermatologic, cardiac, pulmonary, gastrointestinal, genitourinary, neurologic, and musculoskeletal issues, genetics, and syndromes.

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Extra resources for Atlas of the Newborn Volume 3: Head and Neck, Eye, Central Nervous System (Atlas of the Newborn)

Example text

It represents failure of the branchial arches to fuse in the midline. It most commonly affects females, and presents at birth with a ventral midline defect of the skin of the neck. A reddened weeping strip of atrophic skin approximately 5 mm in width may occur at any level between the chin and sternal notch. Often there is a nipple-like projection at the upper end of the fissure and an associated sinus tract at the caudal end which may discharge mucoid material. This condition may be misinterpreted as a branchial cleft anomaly or thyroglossal duct cyst.

Teeth that erupt after birth are neonatal teeth. These teeth have a familial pattern of occurrence and are more common in certain races such as American Indians and Eskimos. Neonatal teeth may occur in association with syndromes. 76. Note the poor development of this natal tooth. This should be extracted, as this may fall out spontaneously and be aspirated. 77. Natal teeth present at birth in a very low birthweight infant (weight 700 g). 78. Discoloration of a natal tooth secondary to maternal treatment with tetracycline during pregnancy.

In this premature infant of 29 weeks’ gestation and birthweight 1120 g there is a branchial arch embryopathy resulting in agnathia, microstomia, and small posteriorly positioned hypoplastic tongue. The ears are very low set and the lower lobes may be fused to the neck which was short and thin. Aural ascent does not occur due to the lack of development of the jaw, hence the low position of the ears. These infants typically have hypoplastic lungs. 152. Another example of agnathia. Note the low-set ears and microstomia.

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