Syngnathia is a rare anomaly that involves fusion between the maxilla and the mandible. The fusion may be due to adhesions of the soft tissue between the bony fusion between maxilla and mandible. The latter is a very rare incongruity. These children present in the neonatal period with difficulties in the airway protection and feeding problems. Surgical management involves break down of the adhesions in the first few days of life. The prognosis is generally favorable.