A newborn female, prenatally diagnosed with micrognathia and features of Treacher Collins syndrome, was born at 34+6 weeks via ex utero intrapartum treatment (EXIT) procedure. Prenatal course was complicated by gestational diabetes, anemia, and HSV1. Family history was unremarkable. At birth, she had significant respiratory distress prompting direct laryngoscopy by Otolaryngology which demonstrated a very small mandible and glossoptosis.
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