Goldenhar syndrome


Goldenhar syndrome
Goldenhar syndrome
Classification and external resources
ICD-10 Q87.0
OMIM 164210
DiseasesDB 31292
MeSH D006053

Goldenhar syndrome (also known as Oculo-Auriculo-Vertebral (OAV) syndrome) is a rare congenital defect characterized by incomplete development of the ear, nose, soft palate, lip, and mandible. It is associated with anomalous development of the first branchial arch and second branchial arch.[1] Common clinical manifestations include limbal dermoids, preauricular skin tags, and strabismus.[2]

The term is sometimes used interchangeably with hemifacial microsomia, although this definition is usually reserved for cases without internal organ/verterbrae disruption.

It affects between 1/3500 to 1/26000 live births in the UK.[citation needed]

Contents

Eponym

The condition was documented in 1952 by Maurice Goldenhar (1924-2001).[3][4]

Symptoms

Chief markers of Goldenhar syndrome are incomplete development of the ear, nose, soft palate, lip, and mandible on usually one side of the body. Additionally, some patients will have growing issues with internal organs, especially heart, kidneys, and lungs. Typically, the organ will either not be present on one side or will be underdeveloped. Note that whilst it is more usual for there to be problems on only one side, it has been known for defects to occur bilaterally (approximate incidence 10% of confirmed GS cases).

Other problems can include severe scoliosis (twisting of the vertebrae), limbal dermoids, and hearing loss (see hearing loss with craniofacial syndromes).Deafness/blindness in one or both ears/eyes.

Causes

The cause of Goldenhar syndrome is largely unknown. However, it is thought to be multifactorial, although there may be a genetic component, which would account for certain familial patterns. It has been suggested that there is a branchial arch development issue late in the first trimester.

An increase in Goldenhar syndrome in the children of Gulf War veterans has been suggested but the difference was shown to be statistically insignificant.[5]

Treatment

Treatment is usually confined to such surgical intervention as may be necessary to help the child to develop e.g. jaw distraction/bone grafts, occular dermoid debulking, repairing cleft palate/lip, repairing heart malformations, spinal surgery. Hearing aids placed in one or both ears.

Some patients with Goldenhar syndrome will require assistance as they grow by means of hearing aids or glasses.

References

  1. ^ Touliatou V, Fryssira H, Mavrou A, Kanavakis E, Kitsiou-Tzeli S (2006). "Clinical manifestations in 17 Greek patients with Goldenhar syndrome". Genet. Couns. 17 (3): 359–70. PMID 17100205. 
  2. ^ Zaka-ur-Rab Z, Mittal S, (2007). "Optic Nerve Head Drusen in Goldenhar Syndrome". JK Science 9 (1): 33–34. http://www.jkscience.org/archive/volume91/jk1.pdf. 
  3. ^ synd/2300 at Who Named It?
  4. ^ M. Goldenhar. Associations malformatives de l’oeil et de l’oreille, en particulier le syndrome dermoïde epibulbaire-appendices auriculaires-fistula auris congenita et ses relations avec la dysostose mandibulo-faciale. Journal de génétique humaine, Genève, 1952, 1: 243-282.
  5. ^ Araneta MR, Moore CA, Olney RS et al. (1997). "Goldenhar syndrome among infants born in military hospitals to Gulf War veterans". Teratology 56 (4): 244–251. doi:10.1002/(SICI)1096-9926(199710)56:4<244::AID-TERA3>3.0.CO;2-Z. PMID 9408975. 

External links


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Look at other dictionaries:

  • Goldenhar syndrome — Goldenhar syndrome. См. синдром Гольденхара. (Источник: «Англо русский толковый словарь генетических терминов». Арефьев В.А., Лисовенко Л.А., Москва: Изд во ВНИРО, 1995 г.) …   Молекулярная биология и генетика. Толковый словарь.

  • Goldenhar syndrome — Gol·den·har syndrome (gōlґdən hahr) [Maurice Goldenhar, Swiss physician, 20th century] oculoauriculovertebral dysplasia; see under dysplasia …   Medical dictionary

  • Goldenhar syndrome — oculoauriculovertebral dysplasia …   Medical dictionary

  • Goldenhar-Syndrom — Klassifikation nach ICD 10 Q87.0 Angeborene Fehlbildungssyndrome mit vorwiegender Beteiligung des Gesichtes …   Deutsch Wikipedia

  • Syndrome de DiGeorge — Microdélétion 22q11 Pour les articles homonymes, voir Syndrome de Shprintzen. Micro délétion 22q11 …   Wikipédia en Français

  • Syndrome de Di George — Microdélétion 22q11 Pour les articles homonymes, voir Syndrome de Shprintzen. Micro délétion 22q11 …   Wikipédia en Français

  • Syndrome de goldenhar — Le Syndrome de Goldenhar ou dysplasie oculo auriculo vertébrale est un ensemble de malformations touchant essentiellement l appareil auditif, l appareil oculaire et le squelette, associées à un retard mental. Sommaire 1 Étiologies 2 Symptômes 2.1 …   Wikipédia en Français

  • Syndrome de Goldenhar — Le Syndrome de Goldenhar ou dysplasie oculo auriculo vertébrale est un ensemble de malformations touchant essentiellement l appareil auditif, l appareil oculaire et le squelette, associées à un retard mental. Sommaire 1 Étiologies 2 Symptômes 2.1 …   Wikipédia en Français

  • syndrome — The aggregate of symptoms and signs associated with any morbid process, and constituting together the picture of the disease. SEE ALSO: disease. [G. s., a running together, tumultuous concourse; (in med.) a concurrence of symptoms, fr. syn,… …   Medical dictionary

  • Goldenhar — Maurice, 20th century American physician. See G. syndrome …   Medical dictionary


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