Golden Har Sydrome In Babies

Preauricular Tags Newborns
Figure 3.57. In this figure of the same infant, note the contractures of the toes. Talipes equinovarus may be present.
Macrostomia

Figure 3.58. Goldenhar's syndrome (facio-auriculovertebral spectrum; oculoauriculoverte-bral dysplasia) is associated with abnormalities of the first and second branchial arches. This infant shows the antimongoloid slant, bilateral macrostomia, and skin tags. Over 90% of these infants have ear abnormalities (small or unusually shaped ears, preauricular tags, and pits). They may have abnormalities of the cervical vertebrae, particularly hemivertebra, coloboma of the upper eyelids, and epibulbar dermoids. Congenital heart disease may be present in one-third of these infants. More than 80% of the infants have normal intelligence.

Goldenhar Infants

Figure 3.59. Another infant with Goldenhar's syndrome showing the abnormal ear and preauricular skin tags in a line extending from the ear to the macrostomic mouth. Characteristic of Goldenhar's syndrome is the combination of unilateral facial hypoplasia, epibulbar dermoid, ocular abnormalities, preauricular appendages, and unilateral dysplasia of the auricle.

Figure 3.60. This infant is another example of Goldenhar's syndrome. She has macrostomia with a unilateral right facial cleft. In addition, there were ear epibulbar dermoids, and cardiac and vertebral abnormalities.

Figure 3.60. This infant is another example of Goldenhar's syndrome. She has macrostomia with a unilateral right facial cleft. In addition, there were ear epibulbar dermoids, and cardiac and vertebral abnormalities.

Macrostomia
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