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Goldenhar syndrome: surgical management protocol in a reference center
Osvaldo I Guevara-Valmaña1, Luciano Nahas-Combina1, Laura Andrade-Delgado1
1Departamento de Cirugía Plástica y Reconstructiva, Clínica de Cirugía Craneofacial, Hospital "Dr. Manuel Gea González", Ciudad de México, México.
Cirugia Y Cirujanos
|August 27, 2019
Summary
This study reviews 42 Goldenhar syndrome cases, detailing surgical interventions for craniofacial anomalies. Early diagnosis and plastic surgery management are crucial for this rare condition.
Area of Science:
- Craniofacial Surgery
- Pediatric Plastic Surgery
- Medical Genetics
Background:
- Goldenhar syndrome, also known as hemifacial microsomia, is a rare congenital disorder.
- It affects the development of the face, particularly the jaw, cheek, and eye.
- Multifactorial genetic and environmental factors are implicated in its etiology.
Purpose of the Study:
- To present the surgical experience with 42 patients diagnosed with Goldenhar syndrome.
- To highlight the range of craniofacial anomalies and surgical procedures performed.
- To emphasize the importance of early diagnosis and multidisciplinary care.
Main Methods:
- Retrospective, observational study of 42 patients with Goldenhar syndrome.
- Data collected from medical and photographic records (2010-2018).
- Treatment provided by the craniofacial surgery unit, plastic and reconstructive surgery department.
Main Results:
- The cohort included 54% males, with the majority (57%) in their first decade of life.
- A total of 71 surgical procedures were performed.
- Procedures included auricular (20%), mandibular (24%), Lefort (4%), volume augmentation (14%), macrostoma correction (13%), and others (21%).
Conclusions:
- Goldenhar syndrome is a rare, complex condition requiring specialized management.
- Early diagnosis and a multidisciplinary approach led by plastic surgeons are essential.
- Comprehensive surgical planning addresses the diverse structural defects associated with the syndrome.
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