Smith's Recognizable Patterns of Human Deformation

Mandibular Deformation

KEY POINTS Congenital compression of the chin can limit jaw growth before birth and result in asymmetric jaw retrusion. An asymmetric mandible can be secondary to an altered cranial base or a condylar abnormality secondary to genetic or environmental factors.…

External Ears

KEY POINTS Congenital ear deformities are common, with an incidence as high as 58% of all newborns. Congenital ear anomalies are divided into malformations and deformations. Malformations involve chondro-cutaneous defects, while deformations involve mechanically distorted architectural anomalies of the newborn’s…

Nasal Deformation

KEY POINTS Nasal deformities can result from constraint or a birth-related trauma in newborns. Nasal septum deviations must be distinguished from deformities of the whole nose. Spontaneous correction of nasal deformities can occur within the first 3 months of life.…

Scoliosis

KEY POINTS External fetal constraint rarely causes persistent scoliosis but can result in infantile idiopathic scoliosis that responds to physical therapy. Congenital scoliosis is caused by a failure of vertebral segmentation, which may lead to progressive spinal deformity with growth.…

Facial Palsy

KEY POINTS Traumatic facial nerve palsy has been associated with birth weight greater than 3500 g, forceps-assisted deliveries, and prematurity. When facial nerve paralysis is of developmental origin, it may be part of a broader pattern of altered morphogenesis. Facial…