PEDIATRICS Vol. 65 No. 1 January 1980, pp. 146-149
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Asymmetric Crying Facies: An Alternative Interpretation

F. Javier Monreal MD1

1 State University of New York, Upstate Medical Center and Crouse Irving Memorial Hospital, Syracuse, New York

The asymmetric crying facies syndrome is currently attributed to hypoplasia of the DAOM. In this condition the lower lip, symmetrical at rest, becomes tilted towards the so-called normal side when the patient cries, as the maldeveloped DAOM fails to pull down the corner of the mouth in the opposite side. We have several patients with the typical appearance of this syndrome who also display perioral anomalies in the supposedly normal or strong side. Based on these patients, we question the sidedness of the anomaly and postulate that very frequently the side of the lip that pulls lowest is the abnormal one.




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