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Case Reports
. 2019 Dec;20(4):298-303.
doi: 10.30476/DENTJODS.2019.44905.

Goldenhar Syndrome in a 6-Year-Old Patient: a Case Report and Review of Literature

Affiliations
Case Reports

Goldenhar Syndrome in a 6-Year-Old Patient: a Case Report and Review of Literature

Fatemeh Jahanimoghadam et al. J Dent (Shiraz). 2019 Dec.

Abstract

Goldenhar syndrome (GHS) is a complex syndrome characterized by relation of mandibular hypoplasia, abnormality of the ear, ocular dermoid and vertebral disorders and hemi facial macrosomia. Treatment protocol depends on the patient's age and systemic clinical presentations, with a multidisciplinary method often being required. This case report describes a typical 6-year-old female patient who presented to the Department of Pediatric Dentistry, Faculty of Dentistry, University of Medical Sciences, Kerman, Iran with mandibular hypoplasia, facial asymmetry, ear tags and ocular dermoid after plastic surgery. Diagnosis was based on clinical aspects, radiology and laboratory findings. GHS is a developmental complaint that can disturb many aspects of the patient's life; therefore, immediate treatment from birth is necessary.

Keywords: Goldenhar Syndrome; Mandibular Condyle; Oral Manifestations; Ventricular Septal Defects; Craniofacial Abnormalities.

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Figures

Figure1
Figure1
a: Frontal view demonstrating unilateral deviation of mandible and left eye dermoid and b: Front view demonstrating convexity of the face
Figure2
Figure2
Scars resulting from surgical removal of ear tags and atresia of external auditory meatus
Figure3
Figure3
View demonstrating left eye dermoid before and after surgery
Figure4
Figure4
Panoramic radiograph reveals lack of development of mandible, zygomatic bone, zygomatic arc a: Pretreatment panoramic radiograph and b: Post treatment radiograph revealed under developed bone ears
Figure5
Figure5
a: Anterior mandibular periapical radiography and b: Anterior maxillary periapical radiography
Figure6
Figure6
a: Oclussal view of upper jaw showing deep caries and b: Oclussal view of lower jaw showing deep caries
Figure7
Figure7
Class III relationship of canines in left and right side
Figure8
Figure8
A Hollywood prosthetic appliance and a removable acrylic appliance fabricate to upper and lower arch
Figure9
Figure9
Frontal and lateral view of kidneys, cervical and lumbar spines in cervicothoracodorsolumbar radiography

References

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