What is the role of a midface exam in the evaluation of short stature?

Updated: Jan 06, 2021
  • Author: Sunil Kumar Sinha, MD; Chief Editor: Robert P Hoffman, MD  more...
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Answer

Carefully examine the midface.

  • A single, central, maxillary incisor reflects a defect in midline facial development.

  • Similarly, a bifid uvula suggests the possibility of a submandibular cleft palate, which may be palpable, yet not visible on inspection.

  • Associated anomalies of midline structures, such as the pituitary gland, are common in patients with major midline facial anomalies.

  • Growth hormone deficiency (GHD) or panhypopituitarism should be considered as a cause of short stature in such patients.


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