International Journal of Radiology Research

International Journal of Radiology Research


International Journal of Radiology Research
Vol. 3, Issue 1 (2021)

Hemifacial microsomia: A rare case of a 25 year old female patient with unilateral facial asymmetry (Hemifacial Microsomia) at Al-Abdali hospital, Amman, Jordan


Khaleda Abualkhael, Ali O Nafi2, Farouq Zeqlam, Abdelrahman labib, Osama Hamarneh, Sermin Al-Najjar, Amer Malkawi

A 25 year old female patient presented to Abdali Hospital in 2019 with features of hemi facial asymmetry, she was refereed to Radiology department from Ear, Nose and Throat department (ENT) for imaging. The patient underwent Brain and Facial CT scans without IV contrast and also Brain MRI with IV contrast for evaluation, the findings were asymmetrical enlargement and thickening of the left skull bones along with proptosis of the right eye and right mandibular ramus hypoplasia, facial soft tissue swelling associated with right facial muscle wasting. The patient is medically free with no chronic diseases, the surgical history was also free, and all blood work up was within normal range. She first noticed facial asymmetry at right side of her face since Childhood, no family history of similar condition among her relatives. Based on the characteristics of her facial physical examination and imaging finding a diagnosis of Hemifacial Microsomia was made. The patient was referred back to the ENT referral doctor and conservative therapy was made. No special procedures like biopsy was made The patient was asymptomatic at the time of presentation although she reports headaches and decrease hearing at the right side in the past few months. The most common congenital facial anomaly is cleft palate and lip, HFM is considered the second most common congenital facial anomaly, the incidence is about 1 within in every 3500 to 4000 births, it is a non-progressive nature disease which mean that the affected area at birth will remain similarly affected through growth. Hence HFM involves both first and second branchial archs the name syndrome of 1st and 2nd branchial archs cames.
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