Newborn with congenital facial palsy and bilateral anotia/atresia of external auditory canal: Rare occurrence

Abstract

Congenital facial palsy (CFP) is clinically defined as facial palsy of the seventh cranial nerve which is present at birth or shortly thereafter. It is generally considered to be either developmental or acquired in origin. Facial palsy of developmental origin is associated with other anomalies including those of pinna and external auditory canal, which range from mild defects to severe microtia and atresia. We report a 2-day-old male newborn that had right CFP with bilateral anotia and atresia of external auditory canals which is rare.

The syndrome of congenital facial palsy and unilateral anotia

“…There have been very few reports of the occurrence of microtia/ anotia syndrome in association with congenital facial palsy without congenital cardiac defects or other congenital abnormalities. These reports include the reports of Parkash and colleagues [9], Gathwala and colleagues, [10], Mahale, et al [11].…”

Berry-Treacher Collins Syndrome With Congenital Bell’s Palsy and Unilateral Anotia: Tongue-Tie Release Under General Anesthesia

“…Well-known syndromes related to the subject include Berry-Treacher Collins and Goldenhar. A case report on the syndrome with complete unilateral anotia and ipsilateral Bell's palsy is presented [6]. Goldenhar syndrome shares the same Bell's characteristics with Treacher Collins syndrome, but is usually unilateral and asymmetrical, while Treacher Collins syndrome is usually bilateral and symmetrical.…”

The Importance of Physical Therapy in the Treatment of Unilateral Congenital Bell Paralysis – A Case Report

“…Facial muscle paralysis is defined as inability of a controlled movement of mimic muscles; it occurs due to dysfunction of facial nerve (of the seventh cranial nerve) that is responsible for their innervation (1,2). The dysfunction of muscle is usually unilateral; it is characterised by asymmetrical face and difficulties in frontal muscle movements, eyelid muscles, cheeks, lips and chin (2,3).…”

“…Both sides of the face are rarely affected (4). Facial nerve paralysis can be congenital and developed (1,3). Congenital paralysis of facial nerve is idiopathic in most cases, but it can often be found in combination with some syndromes as well (1,5,6).…”

“…Congenital paralysis of facial nerve is idiopathic in most cases, but it can often be found in combination with some syndromes as well (1,5,6). Developed paralysis in a newly-born can occur due to bad intrauterine position, delivery trauma, infection or inflammation of facial nerve and tumour of head and UDK: 616.833.17 neck (1,7). Congenital hereditary paralysis of facial nerve was described in the literature (8,9).…”