Attention is directed towards assessing the vital functions such as breathing, eating and sleeping.
In rare cases the lower jaw is so severely deficient that the tongue obstructs breathing during sleep and a temporary tracheostomy is recommended. Once the airway is secure, attention is directed to feeding to make sure the newborn is taking adequate calories and is growing appropriately. In patients who are mildly affected, no treatment will be necessary in this period. The bone lengthening technique has certain advantages. It requires only a short operation to insert and the parents are able to lengthen the mandible at home by tuming a simple screw at the end of the device.