Congenital alveolar synechiae with cleft palate

Congential maxillomandibular fusion or jaw adhesions is a rare entity. it is often associated with other congenital anomalies like cleft palate and is characterized by restricted mouth opening. this unusual presentation of congenital alveolar synechiae is highlighted in a 15 days old baby boy. under inhalational anaesthesia his fibrocartilagenous adhesions were excised and endotracheal tube was then placed. good recovery without any residual scars or adhesions and a 25 mm mouth opening was achieved.