The Goldenhar syndrome: a natural history

Birth Defects Original Article Series
|January 1, 1977
PubMed

Insights

Goldenhar syndrome (1st branchial arch syndrome) presents varied challenges across age groups, from infancy ocular and palatal issues to adult spinal concerns. Early intervention and management are key for addressing hearing deficits and cosmetic concerns throughout life.

Area of Science:

  • Genetics and Developmental Biology
  • Pediatric Medicine
  • Otolaryngology

Background:

  • The 1st branchial arch syndrome, also known as Goldenhar syndrome, is a complex congenital disorder.
  • It affects multiple craniofacial structures and can have systemic implications.

Purpose of the Study:

  • To describe the diverse clinical manifestations and age-dependent challenges in a cohort of 24 patients with Goldenhar syndrome.
  • To highlight previously unreported features and long-term outcomes.

Main Methods:

  • Ascertainment of 24 patients with Goldenhar syndrome.
  • Longitudinal observation of clinical features across different age groups (infancy to adulthood).

Main Results:

  • Infancy: Ocular, auricular, and palatal issues are prominent; feeding difficulties (deglutition incoordination, achalasia, hiatus hernia, mobile cecum) are significant.
  • Childhood/Adolescence: Hearing deficits and cosmetic concerns become more critical.
  • Adulthood: Spinal problems with early degenerative changes requiring surgical intervention emerge.
  • Fertility and longevity appear unaffected in this cohort.

Conclusions:

  • Goldenhar syndrome exhibits a wide spectrum of age-related clinical challenges.
  • Early identification and management of specific issues are crucial for patient outcomes.
  • Unreported gastrointestinal and spinal complications require further attention.

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