Analysis of signs and symptoms in patients with craniofacial microsomia and their treatment
https://doi.org/10.33925/1683-3031-2021-21-4-245-250
Abstract
Relevance. Craniofacial microsomia is a collective definition combining congenital pathologies of organs developing from the first and second branchial arches. However, the affiliation of various congenital pathologies to this disease remains controversial. For this reason, there are no standardized indications for the timing and methods of treatment.
Materials and methods. This paper analyzes the results of examinations conducted from 2011 to 2021in 89 children and adolescents from 1 to 18 years with craniofacial microsomia.
Results. Patient groups were allocated according to the pathology severity and their age, and were offered vari- ous treatments depending on the phenotype variant.
Conclusions. Based on international and our experience and considering the anatomical and functional changes in children and adolescents with craniofacial microsomia, creating a scheme for developing a customized multidisciplinary algorithm to treat these patients becomes relevant.
About the Authors
N. I. Imshenetskaya
A.I. Yevdokimov Moscow State University of Medicine and Dentistry; Medical university „Reaviz”, branch
Russian Federation
Russian Federation
Natalya I. Imshenetskaya, DMD, PhD, Assistant Professor, Department of Pediatric Maxillofacial Surgery; Associate Professor, Department of Dentistry
Moscow
O. Z. Topolnitskiy
A.I. Yevdokimov Moscow State University of Medicine and Dentistry
Russian Federation
Russian Federation
Orest Z. Topolnitskiy, DMD, PhD, DSc, Professor, Honored Doctor of the Russian Federation, Head of the Department of Pediatric Maxillofacial Surgery
Moscow
M. V. Smyslenova
A.I. Yevdokimov Moscow State University of Medicine and Dentistry
Russian Federation
Russian Federation
Margarita V. Smyslenova, MD, PhD, DSc, Professor, Department of Radiology
Moscow
D. A. Lezhnev
A.I. Yevdokimov Moscow State University of Medicine and Dentistry; Russian Medical Academy for Continuing Professional Education
Russian Federation
Russian Federation
Dmitry A. Lezhnev, MD, PhD, DSc, Professor, Head of the Department of Radiology; Professor, Department of Operative Dentistry
Moscow
O. I. Slyus
Medical university „Reaviz”, branch; A.I. Yevdokimov Moscow State University of Medicine and Dentistry
Russian Federation
Russian Federation
Olga I. Slyusar, PhD (Pharmacology), Dean of the School of Continuing Education in Medicine, Associate Professor, Department of Pharmacology
Moscow
References
1. Poswillo D. The aetiology and pathogenesis of craniofacial deformity. Development. 1988; 103 (Suppl):207–212. Available from: https://pubmed.ncbi.nlm.nih.gov/3074909/
2. Grabb WC. The first and second branchial arch syndrome. Plast Reconstr Surg November. 1965;36:485–508. doi: 10.1097/00006534-196511000-00001/
3. Kruchinsky GV. Classification of the 1st and 2nd branchial arches syndromes. Vestnik Oto-Rino-Laringologii. 1999;2: 26-29. Available from: https://www.mediasphera.ru/issues/vestnik-otorinolaringologii/1999/2/
4. Bennun RD, Mulliken JB, Kaban LB, Leonard BD, Murray JE. Microtia: a microform of hemifacial microsomia. Plast Reconstr Surg. 1985; 76(6):859-863. doi: 10.1097/00006534-198512000-00010.
5. Rollnick BR, Kaye CI, Opitz JM. Hemifacial microsomia andvariants: pedigree data. Am J Med Genet. 1983;15(2):233-253. doi:10.1002/ajmg.1320150207.5.
6. Converse JM, Coccaro PJ, Becker M, Wood-Smith B. On hemifacial microsomia. The first and second branchial arch syndrome. Plast Reconstr Surg.1973; 51 (3): 268-279. doi: 10.1097/00006534-197303000-00005
7. Stark RB, Saunders DE. The first branchial syndrome. The oral-mandibular-auricular syndrome. Plast Reconstr Surg Transplant Bull. 1962;29:229–239. doi: 10.1097/00006534-196203000-00001
8. Cohen MM Jr, Rollnick BR, Kaye CI. Oculoauriculovertebral spectrum: an updated critique. Cleft Palate J. 1989;26:276–286. Available from: https://cleftpalatejournal.pitt.edu/ojs/cleftpalate/article/view/1287/1287
9. Topolnitsky OZ, Imshenetskaya NI, Smyslenova MV, Mazalov IV, Ulyanov SA. The problem of auricle reconstruction in craniofacial macrosomia. Pediatric dentistry and dental prophylaxis. 2015;14(2):50-54. (In Russ.). Available from: https: //e l ibrary.ru/download/elibrary_24346489 _82270486.pdf
10. Mazalov IV, Topolnitsky OZ, Abashina AS. Craniofacial mycrosomia as a term: historical essay. Head and Neck. Russian Journal 2014;(2):57-62. (In Russ). Available from: https://hnj.science/wp-content/uploads/2020/08/ 2-2014.pdf
11. Birgfelt C, Heike C. Craniofacial Microsomia. Clin Plastic Surg. 2019;46(2);207–221. doi: 10.1016/j.cps.2018.12.001
12. Engiz O, Balci S, Unsal M, Ozer S, Oguz KK, Aktas D. 31 cases with oculoauriculovertebral dysplasia (Goldenhar syndrome): clinical, neuroradiologic, audiologic and cytogenetic findings. Genet Couns. 2007;18 (3):277-288. Available from: https://pubmed.ncbi.nlm.nih.gov/18019368/
13. Caron CJJM, Pluijmers BI, Wolvius EB, Looman CWN, Bulstrode N, Evans RD, et al. Craniofacial and extracraniofacial anomalies in craniofacial microsomia: a multicenter study of 755 patients. J Craniomaxillofac Surg. 2017;45(8):1302–1310. doi:10.1016/j.jcms.2017.06.001/.
14. Konas E, Canter HI, Mavili ME. Goldenhar complex with atypical associated anomalies: is the spectrum still widening? J Craniofac Surg. 2006;17(4):669–672. doi: 10.1097/00001665-200607000-00011
15. Tuin J, Tahiri Y, Paliga JT, Taylor JA, Scott P Bartlett SP. Distinguishing Goldenhar syndrome from craniofacial microsomia. J Craniofac Surg. 2015;26(6):1887-1892. doi: 10.1097/SCS.0000000000002017
16. Caron CJJM, Pluijmers BI, Maas BDPJ, Klazen YP, Katz ES, Abel F, et al. Obstructive sleep apnoea in craniofacial microsomia: analysis of 755 patients. Int J Oral Maxillofac Surg. 2017;46(10):1330–1337. doi: 10.1016/j.ijom.2017.05.020
17. van de Lande LS, Caron CJJM, Pluijmers BI, Joosten KFM, Streppel M, Dunaway DJ, et al. Evaluation of swallow function in patients with craniofacial microsomia: a retrospective study. Dysphagia. 2018;33:234–242. doi: 10.1007/s00455-017-9851-x
18. Rajendran T, Ramalinggam G, Kamaru Ambu V. Rare presentation of bilobed posterior tongue in Goldenhar syndrome. BMJ Case Rep. bcr-2017-219726. doi: 10.1136/bcr-2017-219726
19. Chen EH, Reid RR, Chike-Obi C, et al. Tongue dysmorphology in craniofacial microsomia. Plast Reconstr Surg 2009;124:583–589. doi: 10.1097/PRS.0b013e3181addba9
20. Birgfeld CB, Heike CL, Saltzman BS, Leroux BG, Evans KN, Luquetti DV. Reliable classification of facial phenotypic variation in craniofacial microsomia: a comparison of physical exam and photographs. Head Face Med 2016; 12:14. doi: 10.1186/s13005-016-0109-x.
21. Allam AK. Hemifacial Microsomia: Clinical Features and Associated Anomalies. J Craniofac Surg. 2021;32(4):1483-1486. doi: 10.1097/SCS.0000000000007408
Review
For citations:
Imshenetskaya N.I., Topolnitskiy O.Z., Smyslenova M.V., Lezhnev D.A., Slyus O.I. Analysis of signs and symptoms in patients with craniofacial microsomia and their treatment. Pediatric dentistry and dental prophylaxis. 2021;21(4):245-250. (In Russ.) https://doi.org/10.33925/1683-3031-2021-21-4-245-250
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