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Its efficacy in relieving airway obstruction is well documented, and it has get to be the surgical input of choice at many craniofacial centers. However, this is an uncommon procedure that can be performed within the first weeks of life, offering little space for a learning curve. The prosperity of neonatal distraction and avoidance of problems is very determined by appropriate surgical technique. This report provides a brief history regarding the disease, details the manner of the senior physician