Original ArticlesAnterior Tongue Microglossia Impact on Face DevelopmentWallace, Robert D. MD*; Puente-Espel, Jordi MD*; Thompson, Jerome W. MD, MBA†; Konofaos, Petros MD, PhD*Author Information *Department of Plastic Surgery, †Department of Otolaryngology, University of Tennessee Health Science Center, Memphis, TN. Address correspondence and reprint requests to Robert D. Wallace, MD, Department of Plastic Surgery, University of Tennessee Health Science Center, 1068 Cresthaven Rd, Suite 500, Memphis, TN 38119; E-mail: firstname.lastname@example.org Received 24 February, 2019 Accepted 11 December, 2019 The authors report no conflicts of interest. Supplemental digital contents are available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal's Web site (www.jcraniofacialsurgery.com). Journal of Craniofacial Surgery: June 2020 - Volume 31 - Issue 4 - p 973-975 doi: 10.1097/SCS.0000000000006304 Buy SDC Metrics Abstract Microglossia is an extremely rare developmental condition that might impact the patient's respiratory, feeding and speech functions, in addition to other intraoral structures. Embryologically, the tongue has 2 origins, which when affected, will determine whether the patient has microglossia or aglossia. A multidisciplinary team should adopt an organized approach based on confirmation by direct laryngoscopy, determination whether associated airway anomalies, mandibular deformities are present; followed by assessment of the ventilatory and feeding status. The involvement of multiple factors, the presence of several anatomical anomalies and the growth exerted by patients, confer microglossia a rather dynamic clinical entity. Two cases of microglossia depicting these features are presented along with review of the literature and a management algorithm. © 2020 by Mutaz B. Habal, MD.