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Case Reports
. 2023 Jul 6;15(7):e41465.
doi: 10.7759/cureus.41465. eCollection 2023 Jul.

Parry Romberg Syndrome: A Case Report and an Insight Into Etiology

Munish Kumar  1 , Robin Singla  1 , Gagandeep Singh  1 , Rishabh Kasrija  2 , Manish Sharma  3
Affiliations
Case Reports

Parry Romberg Syndrome: A Case Report and an Insight Into Etiology

Munish Kumar et al. Cureus. .

Abstract

Parry-Romberg syndrome (PRS) is a rare degenerative disorder of unknown cause that causes slow, progressive atrophy on one side of the face. The cause may be a malfunction of the sympathetic nervous system, with or without neurological symptoms. Atrophy usually begins in childhood and progresses gradually over several years. Stabilization can take up to 20 years. There is no definitive cure for this condition, but once the condition is stabilized, reconstructive surgery of the damaged skin and soft tissue can correct the deformity. The objective of this article is to present an insight into the etiology of PRS with a case report of a 15-year-old male patient, who was diagnosed with PRS due to trauma and developed progressive hemifacial atrophy without neurological manifestations. PRS is a progressive disease that severely affects one side of the face. Because of its devastating effects on the entire body, treatment requires a multidisciplinary approach. Further research is needed to clearly understand the etiology and provide patients with accurate treatment plans.

Keywords: cbct; hemifacial atrophy; neurological diseases; parry romberg syndrome; ­trauma.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. Extraoral features related to Parry Romberg syndrome
A. Front profile; B. Left side profile; C. Right side profile
Figure 2
Figure 2. Intraoral features
A. Permanent dentition; B. Class 1 molar relation
Figure 3
Figure 3. Radiographic features
A. CT scan image showing atrophied facial muscles; B. Smaller frontal and maxillary sinus; C. Normal root development in dentition
Figure 4
Figure 4. Muscle atrophy on the right side of the face
A. Front view; B. Side view
See this image and copyright information in PMC

References

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