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Parry Romberg syndrome: A case report and discussion
Ramasamy Madasamy1, Muruganandhan Jayanandan, Uma Revathy Adhavan
1Department of Orthodontics, Sri Venkateswara Dental College and Hospital, Chennai, Tamil Nadu, India.
Journal of Oral and Maxillofacial Pathology : JOMFP
|December 19, 2012
Summary
Parry Romberg syndrome, a rare facial asymmetry disorder, can cause significant hard tissue changes. Early multidisciplinary management is crucial for addressing aesthetic and functional deficits in affected children.
Area of Science:
- Neurology
- Dermatology
- Genetics
Background:
- Parry Romberg syndrome is a rare, idiopathic condition characterized by progressive hemifacial atrophy.
- The etiology remains unclear, with sympathetic nervous system dysfunction proposed as a potential cause.
- It typically manifests as unilateral facial asymmetry involving skin, subcutaneous tissue, muscle, and bone.
Observation:
- This article details a case of an 8-year-old girl with Parry Romberg syndrome.
- The patient presented predominantly with hard tissue abnormalities.
- Notably, she exhibited no neurological deficits or intraoral soft tissue involvement.
Findings:
- The case highlights the diverse clinical presentations of Parry Romberg syndrome, emphasizing hard tissue changes.
- Imaging studies in some cases may reveal corresponding brain lesions.
- Psychological disturbances and communication issues like speech defects can arise due to disfigurement.
Implications:
- Prompt, multidisciplinary management is essential for optimal outcomes.
- Treatment should focus on development, aesthetics, speech, and masticatory function.
- Symptomatic treatment for neurological deficits, if present, is also a key component.
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