Question:  An infant is referred to you after failing his newborn hearing screen.  On examination you find significant maxillary hypoplasia, micrognathia, wide set proptotic appearing eyes, and small ears.  You note some, but not all, of the features in the infant's mother.  What is the most likely diagnosis?  [Answer will be posted with next week's new question]

Answer to last week's question, Managing the Troublesome Proboscis (Mar 16, 2015): 

Topical nasal corticosteroids and nasal irrigations.  A six- to twelve-week trial is preferred.  The patient should be seen in 3 months to assess for improvement.