Goldenhar syndrome

The following report from the MHC-database is based on the latest version of the Mun-H-Center Observation Chart that has been in use since 2008. Please note, that this report exclude children younger than 3 years.

Reports based on the original forms (1996-2008) are presented at the bottom of this page - below the description of the diagnosis

Oculo-auriculo-vertebral spectrum (OAVS), hemifacial microsomia.

ICD-10
Q87.0

2:100 000 live births.

Unknown.

The following deformities may occur:

Craniofacial:	Facial asymmetry and underdeveloped jaws(hemifacialmicrosomia).
Auricular:	Underdeveloped ears and ear canals, "tags" of skin or cartilage in front of the ear. Eyes: white lumps on the edge of the cornea (epibulbar dermoids) and eyelid deformities (eyelid colobomas).
Skeletal:	Vertebral anomalies.
Cardiac:	The most common defect is ventricular septum defect (VSD) and Fallot's anomaly. Hearing impairment and squinting are common.

Skeletal asymmetry and a small lower jaw. Facial palsy may occur. Sucking difficulties are common in newborns, own to the craniofacial deformities, narrow airway and/or cardiac defect. Many of these children have to be tube fed. Even older children and adults may have eating difficulties. Narrow airways may result in snoring problems and sleep apnea (frequent suspension of breathing while asleep).

• Many individuals with Goldenhar syndrome will require jaw surgery and orthodontic treatment.
• In cases of craniofacial deformities, a specialist team will be needed for follow up and treatment.
• Children with eating difficulties often require extra dental care, including help with oral hygiene and fluoride treatments.
• Feeding and swallowing difficulties are investigated and treated by a specialist team at the hospital or multidisciplinary treatment center.
• Snoring problems should be followed up by a physician.
• When treating medically compromised patients always contact their doctors for medical advice.

The rare disease database of the Swedish National Board of Health and Welfare.
The MHC database - The Mun-H-Center database of orofacial manifestations in rare diseases.

Oculo-auriculo-vertebral spectrum: Associated anomalies, functional deficits and possible developmental risk factors.

Report from Questionnaires
Report from Observation Chart