Goldenhar syndrome: An oculo-auriculo-mandible syndrome was reported

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Goldenhar syndrome: An oculo-auriculo-mandible syndrome was reported

Journal Title: Biomedical Journal of Scientific & Technical Research (BJSTR) - Year 2019, Vol 13, Issue 5

Abstract

In A 2-month-old girl with suffer from eye-facial problems was referred to our clinic. The baby was full-term [1,2] delivery without complications. She had limbal dermoid of left eye with 3mm diameter and both eyes with exotropic strabismus 30 degree. The left side of face is malformed included with external ear malformed, microtia or atresia. The mandibular hypoplasia on left side, on right side is nearly normal and vertebral [2-4] is also nomal. For management of facial features’ baby was referred to pediatric doctor [2] and regular follow-up was advised (Figure 1). Clinical findings showed in Table 1. Causes: Up to now the cause of Goldenhar syndrome is unknown. However, it multifactors were considered. Among of factors, a genetic component, which would suspect for certain familial cases. The Goldenhar syndrome in the children of Gulf War veterans has been suspected, but the difference was not identified [5]. This syndrome may be related with the use of drugs [2] such as thalidomide, retinoic acid, tamoxifen, and cocaine by the pregnant mother. The pregnant mother with diabetes, rubella, and [2] influenza have also been suggested as risk factors [6]. This case is not familial relationship of genetic problem.as well as drugs and maternal diseases were confirmed.We diagnose this case with based on clinical signs. General features include unilateral facial asymmetry. Ocular signs include limbal dermoids [4] and strabismus may be develop amplyopia later. Microtia, partial to complete atresia of external acoustic meatus, preauricular skins, and deafness were seen. Microtia can affect one ear (unilaterally) or both ears (bilaterally). Microtia occurs in every 1 out of 6,000 to 12,000 births. The right ear is more commonly affected and microtia is often accompanied by atresia but our case is left ear. Abnormal sign of skeletal is mandibular deformities. Cardiac defects and renal abnormalities were not detected [1,8].This case will be regular checkup her ears for hearing as well as esthetics, eyes for seeing.as she grows suitable. Surgical treatment can help the child to develop normally e.g. jaw distraction/bone grafts, resection of ocular dermoid, repairing some deformities [9,10]. When grow up, some patients with Goldenhar syndrome will need of hearing aids or eyeglasses [1,8]. Stem cell grafting has been usefully on eye dermoids. These tissues that grow on the eye are follow-up for long time [1]. The treatment of the disease varies with age development and is [2] mainly cosmetic with safe cases. Surgical reconstruction of the external [2] ear may be done the age of 6 to 8 years [2]. Jaw reconstruction surgeries can be done in the early teens; epibulbar [2] dermoids should be surgically excised [7] Eyes and ears [2] can be corrected by plastic surgery [7]. Prognosis of the disease is good in [2] uncomplicated cases without any systemic associations. Successful [2] treatment requires a many concerned fields of otolaryngology, ophthalmology, pediatry, dermatology, orthopedy.

Authors and Affiliations

Duong Dieu

Keywords

Duong Dieu Biomedical Open Access Journals Biomedical Journal Articles Biomedical Journal Impact Factor Scientific Research Articles on Biomedical Journal of Biomedical Research and Reviews Biopsychological Medicine Journals on Vaccination journals on Regenarative Diseases Journals on Neuro Imaging

EP ID EP587572
DOI 10.26717/BJSTR.2019.13.002450
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