LETTERS TO THE EDITOR Reply Dr. Nair has raised the issue of venti- lation in 11 cases of transient tachypnea of the newborn (TTNB). We have elaborated upon this diagnosis in the text. This label was assigned to cases of respiratory distress in whom conditions such as hyaline mem- brane disease, pneurnonis, aspiration, mal- formation can be excluded. Thus, essen- tially, it was a diagnosis of exclusion. However, they all fulfilled the criteria for ventilation (i.e., progressive respiratory distress with inability to maintain normal blood gases in oxygen hood at FiO2 0.6). In all of them, the possibilities such as HMD or pneumonia could not be excluded at the point of initiating ventilatory support. However, they had a benign course as Rare Associations with Goldenhar Syndrome A case of Goldenhar Syndrome with rare association of anophthalmos and calcifica- tion of falx cerebri is reported. A 5-year-old boy was brought with the complaints of asymmetry of the face since birth. On examination the child was aver- agely built and nourished. He had hemi- facial hypoplasia with the clinical signs of frontal bossing, plagiocephaly, microopthal- mos (left side), microtia (left side), ma- nidbular hypoplasia (left side) and mental subnormality. A detailed otorhinolaryngo- 72 evidenced by need for only CPAP in all except two of them. The two who needed 1PPV were preterm babies whose initial course ressembled HMD, but unlike cases of HMD they recovered within 48-72 hours. All units which institute ventilation must be coming across cases of transient respiratory distress as encountered by us. We have used the term TTNB in a broad sense to label such cases. A.K. Deorari, V.K. Paul, Meharban Singh, Department of Pediatrics, All India Institute of Medical Sciences, New Delhi 110 029. logical examination revealed microtia of the left pinna which was displaced inferiorly along with atresia of left external auditory canal and conductive hearing loss. The right ear, nose and throat were normal. The left eye showed anophthalmos and blepherophi- mosis. The right eye was normal. Systemic examination was essentially normal. X-ray skull revealed plagiocephaly, flat occiput, micro-orbit (left side) hemimandible (left side) especially condylar hypoplasia, hypoplasia of left sided facial bones and calcification of falx cerebri (Fig. 1). X-ray cervical spine revealed congenital block veretebra CV2, CV3 and CV4 with spina bifida CV6 and CV7. X-ray chest revealed 13 ribs with rudimentary 1st ribs on both sides.