Hemifacial microsomia: an uncommon craniofacial anomaly—report of two cases from India with review of literature

Babaji, Prashant; Manjunath, BC; Mahesh, Melkundi; Rani, RM Vatchala

doi:10.1016/s0975-962x(11)60024-5

Cited by 1 publication

(1 citation statement)

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“…Other features seen with the syndrome like cleft palate (10% of the cases) and heart anomalies (50% of the cases) are consistent with early loss of neural cells [2]. Though familial inheritance is seen in some cases, several reports suggest that HFM is caused due to focal hematoma formation and necrosis by anastomosis of the stapedial artery at the first and second branchial arches or teratogen activity like retinoic acid, thalidomide and primidone in the first 6-8 weeks of pregnancy [6]. Presence of asymmetrical hypoplasia of facial structures such as mandibular hypoplasia, presence of pre-auricular tags and microtia with or without periauricular skin tags are considered to be diagnostic of HFM [7].…”

Section: Discussionmentioning

confidence: 86%

Hemifacial Microsomia with bilateral ear involvement.

Madiyal¹,

Ajila²,

Hegde³

et al. 2015

Appl Med Res

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Hemifacial microsomia is a rare form of craniofacial anomaly displaying abnormalities of the derivatives of the first and second branchial arches. A diagnosis of hemifacial microsomia is made if the patient presents with microtia, hypoplastic mandible, maxilla or the zygomatic arch on one side of the face. Bilateral involvement is rare. Here we present a rare form of the syndrome which presented with bilateral ear involvement and hearing deficit. Radiographs helped in diagnosing the case as hemifacial microsomia. The condition is extremely complex and heterogenous. Accurate diagnostic workup is necessary to differentiate this condition from other conditions of the first and second arch derivatives. We describe here the characteristic clinical and radiographic features which help to improve the knowledge on the disorder.

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Section: Discussionmentioning

confidence: 86%