Epiglottic hypoplasia associated with lacrimo-auriculo-dental-digital syndrome

We present a case of a young boy with clinical manifestations of lacrimo-au riculo-dental-digital syndrome (LADD) with the additional Finding of a hypo plastic epiglottis that caused airway obstruction at birth. We also reviewe d the 30 cases of LADD that have been reported since 1967. It is a rare syn drome that includes lacrimal system, aural, digital, and dental anomalies. Our patient has lacrimal duct obstruction, deficient tissue in the inferior portion of the ear pinnae, and a hypoplastic epiglottis with collapse of t he supraglottic tissue. Many findings of LADD are recognizable at birth. Th e clinical spectrum has widened with more case reports. Our patient adds a life-threatening airway abnormality, a hypoplastic epiglottis, to the clini cal spectrum of LADD.