Akademik Veri Yönetim Sistemi
Gazi Üniversitesi Diş Hekimliği Fakültesi 1. Genç Akademisyenler Kongresi, Ankara, Türkiye, 20 Şubat - 21 Nisan 2020, ss.1
Atypical Hemifacial
Microsomia with disrupted development of ramus
(Case Report)
Eyüp
Değirmencioğlu
Istanbul
University Faculty of Dentistry Department of Orthodontics, Istanbul, Turkey
AIM: The aim of this report is to describe
an unusual case of hemifacial microsomia with its characteristic clinical
and radiographic findings with
an effort towards
improving the knowledge and an attempt to differentiate it
from other similar syndromes.
CASE: The male patient with a calendar age
of 12 years and a skeletal age of 12 years and 6 months (prepeak) was referred
to our clinic. Based on the chief complaint and the clinical features a
provisional diagnosis of hemifacial microsomia of left side was made. There
were no similarities among family members. As a result of consultation with
medical genetics, the diagnosis was confirmed. Asymmetry was clear 2 mm upper
dental midline deviation to the right, 6.6 mm lower dental midline deviation to
the left, 12.40 mm menton deviation to the left. Unilateral cross bite was not
observed. Posterior segment between the teeth 36 and 43 deviation was to the
lingual, anterior segment deviation was to the mesial. There was an occlusal
cant. Radiographic evaluation revealed that
normal head of the condyle and glenoid fossa with ramus agenesis. There was an
orbital distortion eye and epibullar dermoid in his right eye. He had no ear
deformity.
CONCLUSIONS: This case draws attention to hemifacial microsomia
with atypical findings. Hemifacial
microsomy with ramus agenesis is the first case report published in the
literature so far.
Keywords:
Hemifacial microsomia, Hypoplasic condyle, Ramus agenesis