Management of hemifacial microsoma with ear tags: a case report and three years follow-up
DOI:
https://doi.org/10.18203/2349-3291.ijcp20243484Keywords:
Hemifacial microsomia, Ear tags, Facial disfigurement, Ear abnormalities, Distractor placementAbstract
Hemifacial microsomia is a congenital disorder characterized by asymmetric facial development, affecting the ear, eye, and facial nerves. The etiology is multifactorial, involving genetic and environmental factors. Clinical manifestations can range from mild facial asymmetry to severe craniofacial deformities, often requiring multidisciplinary intervention. Physical examination for facial asymmetry and ear abnormalities. Imaging studies (CT, MRI) to assess craniofacial structures. Detailed medical history to identify any familial patterns or associated syndromes. This case underscores the importance of approach in managing Hemifacial microsomia. Multidisciplinary Long-term follow-up and staged surgical interventions are crucial for achieving optimal functional and aesthetic outcomes. Further research is needed to refine treatment protocols and improve patient quality of life.
References
Vento AR, LaBrie RA, Mulliken JB. The Oculo-Auriculo-Vertebral spectrum: clinical classification and diagnostic approach. J Craniofac Surg. 1991;2(4):193-200.
Rollnick BR, Kaye CI, Nagatoshi K, Hauck W, Martin AO. Oculoauriculovertebral dysplasia and variants: phenotypic characteristics of 294 patients. Am J Med Genet. 1987;26(2):361-75.
Gorlin RJ, Cohen MM, Hennekam RCM. Syndromes of the head and neck. 4th ed. New York: Oxford University Press; 2001.
Poswillo D. The pathogenesis of the first and second branchial arch syndrome. Oral Surg Oral Med Oral Pathol. 1973;35(3):302-28.
Grabb WC, Smith JW. Plastic surgery. 3rd ed. Boston: Little, Brown and Co. 1991.
Birgfeld CB, Heike CL. Craniofacial microsomia. Semin Plast Surg. 2012;26(2):91-104.
Monasterio FO, Molina F, Ochoa S, Rodriguez C. Simultaneous mandibular and maxillary distraction in hemifacial microsomia: the "double-level" technique. J Craniofac Surg. 2001;12(5):423-31.
Tessier P. Anatomical classification of facial, cranio-facial and latero-facial clefts. J Maxillofac Surg. 1976;4(2):69-92.
Cohen MM. Craniofacial microsomia and Treacher Collins syndrome: a comparison. J Craniofac Surg. 1997;8(6):483-93.
Rogers GF, Mulliken JB. What’s in a name? OAV, OAVS, hemifacial microsomia, Goldenhar syndrome, first and second branchial arch syndrome. J Craniofac Surg. 2008;19(6):1330-3.