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More extensive analysis is needed when assessing facial structure in SIDS

BMJ 1999; 318 doi: (Published 06 February 1999) Cite this as: BMJ 1999;318:396
  1. P Mossey, Consultant in orthodontics (,
  2. G D Singh, Clinical lecturer in oral biology,
  3. M E Smith, Clinical lecturer in dental surgery
  1. University of Dundee, Dundee Dental School, Dundee DD1 4HR

    EDITOR—In their short report on facial structure in infants who died of the sudden infant death syndrome Rees et al evaluated the role of retroposition of maxillae and mandibles in predisposing to narrowing and occlusion of the upper airway in the sudden infant death syndrome.1

    Their hypothesis assumes that maxillary, mandibular, or bimaxillary retroposition reduces the nasopharyngeal airway. This may seem logical, but a range of congenital syndromes exhibit maxillary hypoplasia, such as Binder's syndrome (maxillonasal dysplasia), in which a reduced nasopharyngeal airway …

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