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Figure 1 - A: Frontal view of our patient with Chromosome 4q Deletion Syndrome; note the characteristic slightly slanted palpebral fissures, flattened nasal root, low-set ears and triangular mouth. B: Side profile of our patient, demonstrating the micrognathia associated with this syndrome. C: View of the patient’s larynx via C-MAC® before tracheal intubation. D: The same view of our patient’s larynx after intubation. No significant laryngeal abnormalities were noted during intubation.