# Complexities of Hemifacial Microsomia: A Case Study of Mandibular Hypoplasia and Ear Deformity

**Authors:** Shreya Khandelwal, Rajasbala Dhande, Pratapsingh Parihar, Anshul Sood

PMC · DOI: 10.7759/cureus.64499 · Cureus · 2024-07-13

## TL;DR

This case study explores hemifacial microsomia in a 23-year-old woman with facial deformities, emphasizing the need for a multidisciplinary approach for effective treatment.

## Contribution

The study highlights the complexities of HFM through a detailed clinical and radiological evaluation of a specific case.

## Key findings

- The patient exhibited mandibular hypoplasia and left temporomandibular joint fusion.
- Maxillary abnormalities were also identified, confirming the diagnosis of HFM.
- A multidisciplinary team is essential for managing both functional and aesthetic issues in HFM.

## Abstract

Hemifacial microsomia (HFM) presents a complex congenital anomaly characterized by the asymmetric underdevelopment of facial structures, predominantly affecting the ear, mouth, and mandible on one side of the face. This case study examines the intricacies of HFM through the presentation of a 23-year-old female with congenital deformities of the left ear and mandibular hypoplasia. Clinical and radiological evaluations revealed significant facial malformations, including mandibular hypoplasia, left temporomandibular joint fusion, and maxillary abnormalities, confirming the diagnosis of HFM. Management of HFM necessitates a multidisciplinary approach involving otolaryngologists, maxillofacial surgeons, orthodontists, and audiologists to comprehensively address functional and aesthetic concerns. Early diagnosis and intervention, along with psychosocial support, are essential for optimizing outcomes and improving the quality of life for individuals with HFM.

## Linked entities

- **Diseases:** Hemifacial microsomia (MONDO:0015397)

## Full-text entities

- **Diseases:** Ear Deformity (MESH:D004427), congenital anomaly (MESH:D000013), Mandibular Hypoplasia (MESH:D008336), temporomandibular joint fusion (MESH:D013706), facial malformations (MESH:C565579), HFM (MESH:D006053), maxillary abnormalities (MESH:D008439)

## Full text

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## Figures

2 figures with captions in the complete paper: https://tomesphere.com/paper/PMC11320911/full.md

## References

14 references — full list in the complete paper: https://tomesphere.com/paper/PMC11320911/full.md

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Source: https://tomesphere.com/paper/PMC11320911