“…The red blood cell (RBC) bends and shapes in the form of sickle. 2,5 This has consequences such as reduced ability to transport oxygen to the tissues, vasoclusive events, and shorter lifetime of the RBC. 7,8 Constant production of RBC becomes necessary, which causes hyperplasia and compensatory growth of the bone marrow, possibly resulting in changes in bone structure that can be observed radiographically as postulated by Souza et al 9 and Natour et al 10 Craniofacial abnormalities may be noted, such as overgrowth/protrusion of the midface, maxillary expansion, predominantly vertical growth, mandibular retrusion, convex profile, and protruding maxila.…”