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Goldenhar 综合征:以口腔颌面部为重点的临床特征。

Goldenhar syndrome: clinical features with orofacial emphasis.

机构信息

Stomatology Clinic, Dental School, State University of Montes Claros, MG, Brazil.

出版信息

J Appl Oral Sci. 2010 Dec;18(6):646-9. doi: 10.1590/s1678-77572010000600019.

Abstract

OBJECTIVES

Goldenhar syndrome (GS) is a relatively common developmental disorder characterized by craniofacial anomalies in association with vertebral, cardiac, renal, and central nervous system defects. This paper describes GS features with special emphasis on oral characteristics.

MATERIAL AND METHODS

The clinical features of 6 patients with GS aged 3 months to 12 years are described, and a brief review of the literature about this genetic disorder is presented.

RESULTS

All patients demonstrated the classical triad of GS, including mandibular hypoplasia resulting in facial asymmetry, ear and/or eye malformation, and vertebral anomalies. In addition, renal and gastrointestinal abnormalities were observed in 2 patients. Regarding the oral involvement, 2 patients presented cleft lip and palate, and 1 patient had temporomandibular joint malformation. Malocclusion was found in all patients.

CONCLUSION

Our orofacial findings correlate with the reported cases in the literature, and point out that after diagnosis GS patients need to be examined for systemic abnormalities.

摘要

目的

Goldenhar 综合征(GS)是一种较为常见的发育障碍性疾病,其特征为颅面畸形,并伴有椎体、心脏、肾脏和中枢神经系统缺陷。本文主要描述 GS 的口腔特征。

材料与方法

本文对 6 例年龄 3 个月至 12 岁的 GS 患者的临床特征进行了描述,并对该遗传疾病的相关文献进行了简要回顾。

结果

所有患者均表现出 GS 的经典三联征,包括下颌骨发育不全导致的面部不对称、耳和/或眼畸形以及椎体异常。此外,2 例患者还存在肾脏和胃肠道异常。在口腔受累方面,2 例患者表现为唇腭裂,1 例患者存在颞下颌关节畸形。所有患者均存在错颌畸形。

结论

我们的口腔颌面部发现与文献报道的病例相符,并指出 GS 患者在确诊后需要进行全身异常检查。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ae71/3881767/a609d27de071/jaos-18-06-0646-g01.jpg

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