2019, Number 5
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Cir Cir 2019; 87 (5)
Goldenhar syndrome: surgical management protocol in a reference center
Guevara-Valmaña OI, Nahas-Combina L, Andrade-Delgado L, Apellaniz-Campo AG, Leyva-Sotelo LM, Gaspar-Daniel Á
Language: Spanish
References: 20
Page: 516-527
PDF size: 612.55 Kb.
ABSTRACT
Objective: To present our experience treating 42 patients with Goldenhar syndrome.
Method: A descriptive, observational,
retrospective study was carried out using the medical and photographic record of all patients diagnosed with Goldenhar syndrome
treated by the craniofacial surgery unit of the plastic and reconstructive surgery department of the Dr. Manuel Gea
González hospital between 2010 and 2018.
Results: A total of 42 patients were obtained,54% male of which all underwent at
least one procedure. The majority of patients were of the first decade of age (57%). Surgical procedures could be divided
mainly into 14 auricular (20%), 17 mandibular (24%), 2 Lefort (4%), 10 volume (14%), 9 macrostoma (13%) and 16 other
(21%). A total of 71 procedures were performed.
Conclusion: Goldenhar syndrome is a rare entity that affects various structures,
which is why an early diagnosis and multidisciplinary management headed by a team of plastic surgeons is necessary.
REFERENCES
Mohandessan MM, Romano PE. Neuroparalytic keratitis in Goldenhar- Gorlin syndrome. Am J Ophthal. 1978;85: 111-3.
Tuna EB, Orino D, Ogawa K, Yildirim M, Seymen F, Gencay K, et al. Craniofacial and dental characteristics of Goldenhar syndrome: a report of two cases. J Oral Sci. 2011;53:121-4.
Lima M de D, Marques YM, Alves S de M Jr, Ortega KL, Soares MM, Magalhães MH. Distraction osteogenesis in Goldenhar syndrome: case report and 8-year follow-up. Med Oral Patol Oral Cir Bucal 2007;12: E528-31.
Beleza-Meireles A, Clayton-Smith J, Saraiva JM, Tassabehji M. Oculo- auriculo-vertebral spectrum: a review of the literature and genetic update. J Med Genet. 2014;51 635-45.
Wilson GN. Cranial defects in the Goldenhar syndrome. Am J Med Genet. 1983;14:435-43.
Kapur R, Kapur R, Sheikh S, Jindal S, Kulkarni S. Hemifacial microsomia: a case report. J Indian Soc Pedod Prev Dent. 2008;26 (Suppl 1): S34-S40.
Wang RY, Earl DL, Ruder RO, Graham JM. Syndromic ear anomalies and renal ultrasounds. Pediatrics. 2001;108 E32.
Mehta B, Nayak C, Savant S, Amladi S. Goldenhar syndrome with unusual features. Indian J Dermatol Venereol Leprol. 2008;74:254-6.
Rollnick BR, Kaye CI, Nagatoshi K, Hauck W, Martin AO. Oculoauriculovertebral dysplasia and variants: phenotypic characteristics of 294 patients. Am J Med Genet. 1987;26:361-75.
Mellor DH, Richardson JE, Douglas DM. Goldenhar’s syndrome. Oculoauriculo- vertebral dysplasia. Arch Dis Child. 1973;48:537-41.
Saxena R, David MP. Goldenhar Syndrome — a rare case report. J Genet Syndr Gene Ther. 2012;3:1-4.
Caccamese JF Jr, Costello BJ, Mooney MP. Novel deformity of the mandible in oculo-auriculo-vertebral spectrum: case report and literature review. J Oral Maxillofac Surg. 2006;64:1278-82.
Soni ND, Rathod DB, Nicholson AD. Goldenhar syndrome with unusual features. Bombay Hospital Journal. 2012;54:334-5.
Sinha S, Singh AK, Mehra A, Singh R. Goldenhar syndrome – a literature review. JSM Dent. 2015;3:1052.
Vento AR, LaBrie RA, Mulliken JB. The O M.E.N.S. Classification of hemifacial microsomia. Cleft Palate Craniofac J. 1991;28 68‑76.
Kaban LB, Moses MH, Mulliken JB. Surgical correction of hemifacial microsomia in the growing child. Plast Reconstr Surg. 1988;82:9-19.
Tanzer RC. Total reconstruction of the external ear. Plast Reconstr Surg. 1959;23:1.
Woods RH, Varma S, David DJ. Tessier no.7 cleft: a new subclassification and management protocol. Plast C Surg. 2008;122:8.
Munro IR, Phillips JH, Griffin G. Growth after construction of the temporomandibular joint in children with hemifacial microsomia. Cleft Palate J. 1989;26:303-11.
Birgfeld CB, Heike C. Craniofacial microsomia. Semin Plast Surg. 2012;26:91-104.