Analysis and treatment of hemifacial microsomia
- 252 Downloads
In the late forties, Braithwaite and Watson  reported this condition but it was not until the early sixties, that Gorlin and Pindborg provided a detailed description of hemifacial microsomia . This complex and variable congenital anomaly involves the first and second brachial arches and the nasal placode. Usually it is unilateral, but in 5–15% it can be bilateral. A similar condition is Goldenhar’s syndrome, which is craniofacial microsomia and although other names have been coined, e.g. the first and second brachial arch syndrome, lateral facial dysplasia, facial auricular vertebral deformity, ocular auricular vertebral dysplasia and unilateral otomandibular dysostosis. Most cases are sporadic although autosomal dominant and recessive conditions have been reported.
The syndrome has many features. In the ear area, there may be a microtia or preauricular abnormalities, and these can vary from severe to mild. There also may be cardiac or renal problems and deformity of the skeleton...
KeywordsTemporomandibular Joint Zygomatic Arch Glenoid Fossa Free Tissue Transfer Choanal Atresia
- 1.Braithwaite F, Watson JA (1949) A report of three unusual cleft lips. Br J Plast Surg 11:38Google Scholar
- 2.Gorlin R, Pindborg JJ (eds) (1964) Syndromes of the head and neck. McGraw, New York.Google Scholar
- 3.Jones KL (ed) (1997) Smith’s recognizable pattern of human malformation, 5th edn. Saunders, PhiladelphiaGoogle Scholar
- 7.Cohen MM Jr, Rollnick BR, Kaye CI (1989) Oculoauriculovertebral spectrum: An updated critique. Cleft Palate Craniofac J 26(4):276–286Google Scholar
- 11.Pruzansky S (1969) Not all dwarfed mandibles are alike. Birth Defects 5:120–127Google Scholar
- 14.Muerman Y (1957) Congenital microtia and meatal atresia. Arch Otolaryngol 66:443–463Google Scholar