2002 Volume 48 Issue 8 Pages 416-419
Goldenhar syndrome, characterized by the triad of epibulbar dermoids, auricular anomalies, andvertebral deformities, is a relatively rare congenital anomaly estimated to occur every 3, 000 to 5, 000 births. Cleft lip, cleft palate, or both occurs in 2% to 25% of cases. A case of Goldenhar syndrome withunilateral cleft lip and palate is reported.
A 3-month-old boy was referred by a pediatrician to our department for treatment of dyspnea and cleftlip and palate.
He had multiple malformations, including complete unilateral cleft lip and palate, bilateral epibulbarlipodermoids, left keratoleukoma, obstruction of the right meatus and stenosis of the left meatus, accessorytragus, laryngeal malacosis, mandibular micrognathia, and hypoplasia of the right side of thetongue. No vertebral deformity was present. The diagnosis was Goldenhar syndrome of incomplete type.
The patient had severe dyspnea due to mandibular micrognathia and laryngeal malacosis. Tracheotomywas performed by the department of pediatric surgery 3 months after birth. After the procedure, dyspneaimproved, and body weight increased. Cheiloplasty was carried out at our clinic at 7 months.
