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Progressive hemifacial atrophy (Parry-Romberg syndrome). Case report
N Mazzeo1, J G Fisher, M H Mayer
1Pediatric Dentistry Residency Program, Fort George G. Meade, MD, USA.
Summary
Parry-Romberg syndrome, a progressive hemifacial atrophy, affects facial tissues over 2-10 years before stabilizing. This review highlights unique dental involvement in this rare condition.
Area of Science:
- Neurology
- Dermatology
- Genetics
Background:
- Progressive hemifacial atrophy, also known as Parry-Romberg syndrome, is a rare disorder characterized by gradual wasting of facial tissues.
- The condition typically involves subcutaneous fat, skin, cartilage, and bone on one side of the face.
- It progresses over a period of 2 to 10 years, eventually reaching a stable phase.
Observation:
- This article reviews existing literature on Parry-Romberg syndrome.
- A specific case report details unique dental manifestations associated with the syndrome.
- The case highlights the complex and varied presentation of facial atrophy.
Findings:
- Parry-Romberg syndrome involves progressive, unilateral facial tissue atrophy.
- Dental anomalies can be a significant, though often overlooked, consequence of the disease process.
- The review synthesizes current knowledge and presents novel clinical observations.
Implications:
- Understanding the full spectrum of Parry-Romberg syndrome, including dental involvement, is crucial for comprehensive patient care.
- Early recognition and management can potentially mitigate long-term functional and aesthetic deficits.
- Further research into the etiology and treatment of Parry-Romberg syndrome is warranted.
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