Hemifacial microsomia: a clinicoradiographic report of a case (original) (raw)

Hemifacial microsomia: a series of three case reports

Journal of clinical and diagnostic research : JCDR, 2013

Hemifacial Microsomia (HFM) is an asymmetric craniofacial malformation which results in hypoplasia of the components of the first and second branchial arches. There can be various anomalies, which include conductive hearing loss which is caused by external and middle ear deformities. HFM is the second most common congenital facial anomaly which is seen after cleft lip/palate. For the pre-surgical evaluation of this anomaly, diagnostic imaging and classification of the facial structures, based on OMENS classification, is of prime importance. The management of this developmental malformation is multidisciplinary. We are presenting a series of three cases with diverse clinical and radiographic features which ranged from mild facial asymmetry and ear malformation to facial paralysis.

Hemifacial Microsomia: Case series and overview

International Journal of Clinical Images and Medical Reviews, 2022

A congenital facial abnormality called hemifacial microsomia (HFM) that causes hypoplasia of the first and second pharyngeal arches derivatives like the temporomandibular joint, mandibular ramus and body, masticatory muscles, the ear, and occasionally the facial nerve. In terms of developmental craniofacial anomalies, cleft lip and palate, which typically occurs unilaterally but can occasionally occur bilaterally, is the most prevalent, followed by HFM. There can be a number of defects, such as conductive hearing loss brought on by middle and external ear malformations. Diagnostic imaging and face structure categorization using the OMENS system are crucial for the pre-surgical evaluation of this abnormality. This developmental abnormality is managed in a multidisciplinary manner. We are showcasing a trio of examples with a variety of clinical and radiological characteristics, ranging from moderate ear deformity and facial asymmetry. Case Series Case 1 A 15 years old female was referred to department of Radio-diagnosis for cross-sectional Non-contrast CT scan of Face with 3D recon

Hemifacial Microsomia - A Case Report With Review Of Literature

Kocaeli Üniversitesi Sağlık Bilimleri Dergisi, 2017

Hemifacial microsomia (HFM) is a congenital deformity characterised by unilateral deficiency in the volume of hard and soft tissue of face. It is a syndrome predominantly affecting first branchial arch featuring poorly developed temporomandibular joint, mandibular ramus, muscles of mastication and ear. People with HFM may present with an underdeveloped ear (microtia) or absent ear (anotia) on the affected side of the face. The incidence of this disorder is 1:3000-26,000, which is usually seen at birth. Here we present a case of hemifacial microsomia in a 12-year-old girl with hearing difficulties on the affected side with review of literature.

Hemifacial Microsomia – A Case Report and Review of Literature

Hemifacial microsomia is a congenital deformity in which there is a deficient amount of skeletal and soft tissues on one side of the face. It is a syndrome affecting mainly first and second branchial arches, which include underdeveloped temporomandibular joint, mandibular ramus, masticatory muscles, ears and defects in facial nerve and muscles. The soft tissue malformation is present in the external ear, and the affected ear is placed lower as compared to the contralateral side. In addition to this, underdevelopment of osseous components leads to hearing loss with diminished external auditory meatus. The incidence of this disorder is 1:3000‑26,000, which is usually seen at birth. Here, we present a case of 20-year-old girl, who complained of facial asymmetry on the left side of the face and deformity of left ear since birth with loss of hearing.

Hemifacial microsomia: clinicoradiological insight and report of a case

Ethiopian Journal of Health Sciences, 2017

BACKGROUND: Hemifacial microsomia is a congenital malformation characterized by deficiency in the amount of hard and soft tissue on one side of the face. It is primarily a syndrome of the first branchial arch, involving underdevelopment of the temporomandibular joint, masticatory muscles, mandibular ramus, ear and, occasionally, defects in facial nerve and muscles. CASE DETAILS: The clinical and radiological manifestations of a 14-year-old male patient having hemifacial microsomia is highlighted in this article to enhance our knowledge and diagnostic skill of this rare entity. CONCLUSION: This case illustrates that early diagnosis and intervention in a patient with hemifacial microsomia is quintessential for proper functioning and esthetics of the orofacial structures, which will lead to a better prognosis.

Hemifacial Microsomia in a Female Kid - A Clinico-Radiological report

2021

Otomandibular Auricular syndrome or Hemifacial Microsomia (HFM) is an asymmetric craniofacial malformation which results in hypoplasia of the components of the first and second branchial arches. HFM is the second most common congenital craniofacial anomaly after cleft lip/palate. The incidence of this disorder is 1:3000 26,000, which is usually seen at birth. Males are more commonly affected than females and right side is more affected than the left side. For the pre-surgical evaluation of this anomaly, diagnostic imaging and classification of the facial structures, based on OMENS classification, is of prime importance. The management of this developmental malformation is multidisciplinary. Here we report a case of Hemifacial Microsomia in a six-year-old female kid.

Classification and Management of Hemifacial Microsomia: A Literature Review

PubMed, 2020

Hemifacial microsomia (HFM) is the 2nd most common craniofacial birth defect after cleft lip and palate. It is said to arise from the 1st & 2nd intrauterine branchial arches. HFM is believed by many experts to be congenital but not inherited as most patients afflicted have no previous family history. It also known as craniofacial microstomia with cranial involvement. The real cause is unknown but largely blamed on hemorrhage of the stapaedial artery. The phenotypic expression is variable from mild to severe involving many structures such as bone, nerve, muscular tissues and soft tissue. Facial structures commonly affected include the ears, the mouth and the mandible. Mostly unilateral but bilateral have been reported. However, not much is known about this condition in sub-Saharan Africa. Multidisciplinary team management is the general consensus for optimal care. Awareness in sub-Saharan Africa of this disorder is still evolving. This review identifies various classifications, diagnoses, investigations, treatment and timelines for management of HFM. The aim of the current review was to discuss the diverse controversies, classification, diagnosis and treatment of HFM so as to increase the understanding of this condition.

Sequential treatment for a patient with hemifacial microsomia: 10 year-long term follow up

Maxillofacial plastic and reconstructive surgery, 2015

Hemifacial microsomia (HFM) is the most common craniofacial anomaly after cleft lip and cleft palate; this deformity primarily involves the facial skeleton and ear, with either underdevelopment or absence of both components. In patients with HFM, the management of the asymmetries requires a series of treatment phases that focus on their interception and correction, such as distraction osteogenesis or functional appliance treatment during growth and presurgical orthodontic treatment followed by mandibular and maxillary surgery. Satisfactory results were obtained in a 9-year-old girl with HFM who was treated with distraction osteogenesis. At the age of 19, genioplasty and mandible body augmentation with a porous polyethylene implant (PPE, Medpor®, Porex) was sequentially performed for the functional and esthetic reconstruction of the face. We report a case of HFM with a review of the literature.

Hemifacial Microsomia: A Mini Review

Journal of Advances in Medicine and Medical Research, 2019

Hemifacial Microsomia (HFM) is a congenital anomaly involving embryological derivatives of the first and second branchial arches and characterized mainly by mandibular hypoplasia and unilateral or bilateral microtia; although, other facial structures may be affected. It may have long-term effects on psychological development and social well-being, due to unaesthetic facial appearance, functional disturbances and complex medical treatments.

Hemifacial Microsomia with bilateral ear involvement

Applied Medical Research, 2015

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.