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Goldenhar Syndrome [oculo-auriculo-vertebral spectrum.]


A search of Medline at Indiana University, Bloomington, Indiana. Presented with the generous co-operation and permission of SilverPlatter.
Goldenhar syndrome is a developmental abnormality of the ear area. NORD (National Organization for Rare Diseases) tells us this about the condition:
Goldenhar Syndrome, a term that is often used synonymously with "Oculo-Auriculo-Vertebral (OAV) Spectrum," is a rare disorder that is apparent at birth (congenital). The disorder is characterized by a wide spectrum of symptoms and physical features that may vary greatly in range and severity from case to case. However, such abnormalities tend to involve the cheekbones, jaws, mouth, ears, eyes, and/or bones of the spinal column (vertebrae). Although, in most cases, such malformations affect one side of the body (unilateral), approximately 10 to 33 percent of affected individuals have such malformations on both sides of the body (bilateral), with one side typically more affected than the other (asymmetry). In the majority of such cases, the right side is more severely affected than the left.

Click NORD for more data.

Additional information can be obtained through the following support organization:
Children's Craniofacial Association
P.O. Box 280297
Dallas, TX 75228
(972) 994-9902
(800) 535-3643

Now the literature:

Record 1 of 99 in MEDLINE (R) 2001/01-2001/02

TITLE: Accessory tragus: report of two cases and review of the literature.

AUTHOR: Jansen,-T; Romiti,-R; Altmeyer,-P

ADDRESS OF AUTHOR: Department of Dermatology, Ruhr-University Bochum, Germany.

SOURCE: Pediatr-Dermatol. 2000 Sep-Oct; 17(5): 391-4

INTERNATIONAL STANDARD SERIAL NUMBER: 0736-8046

PUBLICATION YEAR: 2000

LANGUAGE: English

COUNTRY OF PUBLICATION: UNITED-STATES

ABSTRACT: Accessory tragus is a fairly common congenital malformation of the external ear. In the vast majority of cases it is an isolated developmental defect not associated with other abnormalities. However, the remote possibility exists that it could be associated with other abnormalities of the first and second branchial arch. Accessory tragus is a consistent feature of the oculoauriculovertebral syndrome (Goldenhar syndrome). When correctly identified, surgical excision of accessory tragus is quite simple and rarely results in any complications.

MAJOR MESH DESCRIPTORS: *Abnormalities-diagnosis; *Ear,-External-abnormalities; *Skin-Neoplasms-diagnosis

MINOR MESH DESCRIPTORS: Abnormalities-pathology; Child,-Preschool; Diagnosis,-Differential; Ear-Cartilages-abnormalities; Infant-; Skin-Diseases-diagnosis; Skin-Neoplasms-pathology

CHECKTAGS: Case-Report; Human; Male

PUBLICATION TYPE: Journal-Article; Review; Review-of-Reported-Cases

SUBHEADINGS: diagnosis; pathology; abnormalities

SUBSET: Index-Medicus

UPDATE CODE: 20010215

ACCESSION NUMBER: 20536120

RECORD FEATURES: ABSTRACT (AB)

Record 2 of 99 in MEDLINE (R) 2001/01-2001/02

TITLE: [Oculo-auriculo-vertebral spectrum]

AUTHOR: Izumikawa,-Y

SOURCE: Ryoikibetsu-Shokogun-Shirizu. 2000; (30 Pt 5): 220-1

PUBLICATION YEAR: 2000

LANGUAGE: Japanese; Non-English

COUNTRY OF PUBLICATION: JAPAN

MAJOR MESH DESCRIPTORS: *Goldenhar-Syndrome-etiology; *Goldenhar-Syndrome-physiopathology

MINOR MESH DESCRIPTORS: Chromosome-Abnormalities; Diagnosis,-Differential; Prognosis-

CHECKTAGS: Human

PUBLICATION TYPE: Journal-Article; Review; Review,-Tutorial

SUBHEADINGS: etiology; physiopathology

SUBSET: Index-Medicus

UPDATE CODE: 20010125

ACCESSION NUMBER: 20510968

Record 3 of 99 in MEDLINE (R) 2001/01-2001/02

TITLE: Unilateral semicircular canal aplasia in Goldenhar's syndrome.

AUTHOR: Lemmerling,-M-M; Vanzieleghem,-B-D; Mortier,-G-R; Dhooge,-I-J; Kunnen,-M-F

ADDRESS OF AUTHOR: Department of Radiology, University Hospital Gent, Belgium.

SOURCE: AJNR-Am-J-Neuroradiol. 2000 Aug; 21(7): 1334-6

INTERNATIONAL STANDARD SERIAL NUMBER: 0195-6108

PUBLICATION YEAR: 2000

LANGUAGE: English

COUNTRY OF PUBLICATION: UNITED-STATES

ABSTRACT: A patient with Goldenhar's syndrome (oculoauriculovertebral dysplasia) and unilateral aplasia of all semicircular canals is presented. This is the first report of such a finding and may support the hypothesis that Goldenhar's syndrome and the CHARGE association have a common pathogenetic mechanism.

MAJOR MESH DESCRIPTORS: *Goldenhar-Syndrome-diagnosis; *Magnetic-Resonance-Imaging; *Semicircular-Canals-abnormalities; *Tomography,-X-Ray-Computed

MINOR MESH DESCRIPTORS: Fourier-Analysis; Image-Processing,-Computer-Assisted; Imaging,-Three-Dimensional; Infant-; Semicircular-Canals-pathology

CHECKTAGS: Case-Report; Human; Male

PUBLICATION TYPE: Journal-Article

SUBHEADINGS: diagnosis; abnormalities; pathology

SUBSET: Index-Medicus

UPDATE CODE: 20010111

ACCESSION NUMBER: 20408393

RECORD FEATURES: ABSTRACT (AB)

Record 4 of 99 in MEDLINE (R) 2001/01-2001/02

TITLE: Nuchal translucency in multiple pregnancies.

AUTHOR: Monni,-G; Zoppi,-M-A; Ibba,-R-M; Putzolu,-M; Floris,-M

ADDRESS OF AUTHOR: Department of Obstetrics and Gynecology, Prenatal and Preimplantation Genetic Diagnosis, Fetal Therapy, Ospedale Regionale per le Microcitemie, Via Jenner 09121 Cagliari, Italy. prenatalmonni@tiscalinet.it

SOURCE: Croat-Med-J. 2000 Sep; 41(3): 266-9

INTERNATIONAL STANDARD SERIAL NUMBER: 0353-9504

PUBLICATION YEAR: 2000

LANGUAGE: English

COUNTRY OF PUBLICATION: CROATIA

ABSTRACT: AIM: To evaluate the prevalence of increased nuchal translucency (NT) in multiple pregnancies and its relation to fetal karyotype and pregnancy outcome. METHODS: We measured fetal nuchal translucency (NT) in 6,338 women pregnant from 10+3 to 13+6 weeks by ultrasound and evaluated the prevalence of NT=95th centile in 115 multiple pregnancies, including 100 pairs of twins (70 dichorionic and 30 monochorionic placentas), 9 triplets, 5 quadruplets, and one quintuplet. Chorionicity, fetal karyotype, and pregnancy outcome were also evaluated in 400 singleton pregnancies. RESULTS: NT=95th centile in a single fetus was found in 10/70 cases of dichorionic twin pregnancies (14%), in two quadruplets, in 7/30 monochorionic twin pregnancies (23.3%), and in both fetuses in one dichorionic twin pregnancy. In the control group, NT=95th centile was found in 17/400 (4.2%) cases. In multiple pregnancies, two cases of trisomy 21 and one of 47, XXY were found. NT=95th centile was found in 2/2 fetuses with trisomy 21 (one dichorionic twin pregnancy and one tetrachorionic pregnancy), but not in the 47, XXY trisomy (trichorionic triplet pregnancy). A skeletal dysplasia and a Goldenhar syndrome were found among the 10 dichorionic pregnancies with increased NT. Three intrauterine deaths of both fetuses, one congenital heart disease, and a case of twin-to-twin transfusion occurred in 7 monochorionic pregnancies with increased NT. CONCLUSION: Increased NT in multiple pregnancies indicates fetuses at risk of chromosomal abnormalities and fetal malformation, and monochorionic twin pregnancies at higher risk of adverse outcome.

MAJOR MESH DESCRIPTORS: *Abnormalities-ultrasonography; *Neck-ultrasonography; *Pregnancy,-Multiple; *Ultrasonography,-Prenatal

MINOR MESH DESCRIPTORS: Adult-; Chromosome-Abnormalities-ultrasonography; Pregnancy-Outcome

CHECKTAGS: Comparative-Study; Female; Human; Pregnancy; Support,-Non-U.S.-Gov't

PUBLICATION TYPE: Journal-Article

SUBHEADINGS: ultrasonography

SUBSET: Index-Medicus

UPDATE CODE: 20001214

ACCESSION NUMBER: 20420554

RECORD FEATURES: ABSTRACT (AB)

Record 5 of 99 in MEDLINE (R) 2001/01-2001/02

TITLE: Branchial cleft anomaly, congenital heart disease, and biliary atresia: Goldenhar complex or Lambert syndrome?

AUTHOR: Cohen,-J; Schanen,-N-C

ADDRESS OF AUTHOR: Department of Pediatrics, University of California, Los Angeles 90095-7088, USA.

SOURCE: Genet-Couns. 2000; 11(2): 153-6

INTERNATIONAL STANDARD SERIAL NUMBER: 1015-8146

PUBLICATION YEAR: 2000

LANGUAGE: English

COUNTRY OF PUBLICATION: SWITZERLAND

ABSTRACT: The features of Goldenhar complex have been well-described and classically include branchial arch abnormalities, epibulbar dermoid and vertebral abnormalities. We have identified an infant with these features in association with complex congenital heart disease and intrahepatic biliary atresia. Although Lambert described an autosomal recessive disorder with an association of biliary atresia and branchial arch abnormalities, none of those cases had epibulbar dermoid. Diagnostic considerations in this case include inclusion of biliary atresia as a new feature in the expanding spectrum of the Goldenhar complex, versus Lambert syndrome with epibulbar dermoid.

MAJOR MESH DESCRIPTORS: *Abnormalities,-Multiple-genetics; *Biliary-Atresia-genetics; *Branchioma-genetics; *Goldenhar-Syndrome-genetics; *Head-and-Neck-Neoplasms-genetics; *Heart-Defects,-Congenital-genetics

MINOR MESH DESCRIPTORS: Abnormalities,-Multiple-diagnosis; Biliary-Atresia-diagnosis; Branchioma-diagnosis; Diagnosis,-Differential; Genetic-Counseling; Goldenhar-Syndrome-diagnosis; Head-and-Neck-Neoplasms-diagnosis; Heart-Defects,-Congenital-diagnosis; Infant-

CHECKTAGS: Case-Report; Female; Human

PUBLICATION TYPE: Journal-Article

SUBHEADINGS: diagnosis; genetics

SUBSET: Index-Medicus

UPDATE CODE: 20001121

ACCESSION NUMBER: 20352131

RECORD FEATURES: ABSTRACT (AB)

Record 6 of 99 in MEDLINE EXPRESS (R) 2000/11-2000/12

TITLE: Hemifacial spasm or subcortical epilepsy?

AUTHOR(S): Arzimanoglou-AA; Salefranque-F; Goutieres-F; Aicardi-J

ADDRESS OF AUTHOR: Child Neurology and Metabolic Diseases Dpt., Hopital Robert-Debre, Paris, France. alexis.arzimanoglou@rdb.ap-hop-paris.fr

SOURCE (BIBLIOGRAPHIC CITATION): Epileptic-Disord. 1999 Jun; 1(2): 121-5

INTERNATIONAL STANDARD SERIAL NUMBER: 1294-9361

PUBLICATION YEAR: 1999

LANGUAGE OF ARTICLE: ENGLISH

COUNTRY OF PUBLICATION: FRANCE

ABSTRACT: A child with Goldenhar's syndrome presented at about one week of age with stereotyped, repetitive paroxysmal episodes of hemifacial contraction, suggestive of partial seizures or hemifacial spasm. Later in life he also developed independent, permanent abnormal eye and chin movements identical in rhythm to those seen in myorhythmias, suggesting involvement of the dentato-olivary pathway. MRI demonstrated a hamartomatous lesion at the level of the pontomedullary junction. We speculate that the nature of the lesion could be responsible for the partial seizures mimicking hemifacial spasm and that because of its location, this same lesion could also be implicated in the genesis of myorhythmias. The presence of a hamartomatous lesion in a region affected by the abnormal development of the first and second branchial arches is not fortuitous.

MINOR MESH HEADINGS: Adolescence-; Adult-; Cerebellar-Diseases-diagnosis; Cerebellar-Diseases-physiopathology; Cerebellum-physiopathology; Child-; Child,-Preschool; Epilepsies,-Partial-physiopathology; Follow-Up-Studies; Goldenhar-Syndrome-physiopathology; Hamartoma-diagnosis; Hamartoma-physiopathology; Hemifacial-Spasm-physiopathology; Infant-; Magnetic-Resonance-Imaging; Medulla-Oblongata-abnormalities; Medulla-Oblongata-physiopathology; Pons-abnormalities; Pons-physiopathology

MAJOR MeSH HEADINGS: *Epilepsies,-Partial-diagnosis; *Goldenhar-Syndrome-diagnosis; *Hemifacial-Spasm-diagnosis

CHECKTAGS: Case-Report; Human; Male

PUBLICATION TYPE: JOURNAL-ARTICLE

MEDLINE ACCESSION NUMBER: 20392833

UPDATE CODE: 200011

Record 7 of 99 in MEDLINE EXPRESS (R) 2000/01-2000/10

TITLE: Pulsatile expansion therapy for orbital enlargement.

AUTHOR(S): Wagner-A; Schneider-C; Lagogiannis-G; Hollman-K

ADDRESS OF AUTHOR: Clinic of Maxillofacial Surgery, Vienna Medical School, University of Vienna, Austria. arnewagner@univie.ac.at

SOURCE (BIBLIOGRAPHIC CITATION): Int-J-Oral-Maxillofac-Surg. 2000 Apr; 29(2): 91-5

INTERNATIONAL STANDARD SERIAL NUMBER: 0901-5027

PUBLICATION YEAR: 2000

LANGUAGE OF ARTICLE: ENGLISH

COUNTRY OF PUBLICATION: DENMARK

ABSTRACT: Experimental and clinical investigations have documented the modulatory role of the globe in the development of the orbit. In cases of absence or early loss of the globe, severe hypoplasia of the orbit and midface has been reported by several authors. Statical conformers and orbital osteotomies have been used to correct the resulting facial asymmetry. When replacing such conformers by increasingly larger ones, orbital structures are negatively influenced by the repeated trauma of surgical interventions. Simulating the modulatory role of the globe on orbital growth was the objective when developing a pulsatile device for orbital enlargement in cases of anophthalmia and microrbitism. The design, application and preliminary experience with a dynamic, pulsatile expanding system are presented.

MINOR MESH HEADINGS: Bone-Development-physiology; Carotid-Arteries-physiology; Child-; Goldenhar-Syndrome-physiopathology

MAJOR MeSH HEADINGS: *Anophthalmos-physiopathology; *Orbit-growth-and-development; *Pulsatile-Flow-physiology; *Tissue-Expanders

CHECKTAGS: Case-Report; Human; Male

PUBLICATION TYPE: JOURNAL-ARTICLE

MEDLINE ACCESSION NUMBER: 20290740

UPDATE CODE: 200010

SUBSET: DENTAL

Record 8 of 99 in MEDLINE EXPRESS (R) 2000/01-2000/10

TITLE: [Goldenhar syndrome: a polymalformation syndrome with conductive hearing loss]

ORIGINAL TITLE: Sindrome de Goldenhar. Un sindrome polimalformativo con hipoacusia de transmision

AUTHOR(S): Santa-Cruz-Ruiz-S; Aguirre-Garcia-F; Perez-Plasencia-D; Blanco-Perez-P; Guillen-Guerrero-V; Del-Canizo-Alvarez-A

ADDRESS OF AUTHOR: Servicio de Otorrinolaringologia y Patologia Cervico-Facial, Hospital Clinico de Salamanca.

SOURCE (BIBLIOGRAPHIC CITATION): An-Otorrinolaringol-Ibero-Am. 2000; 27(2): 161-7

INTERNATIONAL STANDARD SERIAL NUMBER: 0303-8874

PUBLICATION YEAR: 2000

LANGUAGE OF ARTICLE: SPANISH; NON-ENGLISH

COUNTRY OF PUBLICATION: SPAIN

ABSTRACT: We report the case of a 9-years-old girl showing at examination facial asymmetry, right ear with II degree dysplasy and degree III in the left ear (according Marx classification), cleft palate, renal agenesy, scoliosis and hypoplasy of the left thumb. Otoscopically both external ear canals looked very narrow and very upright positioned. The drumhead image recalling that of chronic mucoid effusion. The measurement of hearing through pure-tone audiometry, PEATC, and tympanometry resulted in a pattern of bilateral transmissive pantonal hearing impairment accounting for 50-60 dB. Scoliosis was due either to bars or hemivertebrae or even to an atlas occipitalization. Chromosoma caryotype was normal.

MINOR MESH HEADINGS: Abnormalities,-Multiple; Child-; Ear-Ossicles-abnormalities; Ear-Ossicles-radiography; Ear-Ossicles-surgery; English-Abstract; Ossicular-Replacement; Severity-of-Illness-Index

MAJOR MeSH HEADINGS: *Goldenhar-Syndrome-diagnosis; *Hearing-Loss,-Conductive-diagnosis

CHECKTAGS: Case-Report; English-Abstract; Female; Human

PUBLICATION TYPE: JOURNAL-ARTICLE

MEDLINE ACCESSION NUMBER: 20288303

UPDATE CODE: 200009

Record 9 of 99 in MEDLINE EXPRESS (R) 2000/01-2000/10

TITLE: Goldenhar syndrome with rare associations.

AUTHOR(S): Kumar-R; Balani-B; Patwari-AK; Anand-VK; Ahuja-B

ADDRESS OF AUTHOR: Department of Pediatrics, Lady Hardinge Medical College, Kalawati Saran Children's Hospital, New Delhi.

SOURCE (BIBLIOGRAPHIC CITATION): Indian-J-Pediatr. 2000 Mar; 67(3): 231-3

INTERNATIONAL STANDARD SERIAL NUMBER: 0019-5456

PUBLICATION YEAR: 2000

LANGUAGE OF ARTICLE: ENGLISH

COUNTRY OF PUBLICATION: INDIA

ABSTRACT: Goldenhar syndrome is a malformation complex involving the structures arising from first and second branchial arches, the first pharyngeal pouch, first branchial cleft and primordia of the temporal bone. Though the syndrome itself is not very rare, the presence of polydactyly and hydrocephalus, which are rare associations, prompted us to report this case.

MINOR MESH HEADINGS: Infant-; Infant,-Newborn

MAJOR MeSH HEADINGS: *Abnormalities,-Multiple; *Goldenhar-Syndrome-diagnosis; *Hydrocephalus-complications; *Polydactyly-complications

CHECKTAGS: Case-Report; Female; Human; Male

PUBLICATION TYPE: JOURNAL-ARTICLE

MEDLINE ACCESSION NUMBER: 20297219

UPDATE CODE: 200009

Record 10 of 99 in MEDLINE EXPRESS (R) 2000/01-2000/10

TITLE: Treatment of epibulbar limbal dermoids [clinical conference]

AUTHOR(S): Kaufman-A; Medow-N; Phillips-R; Zaidman-G; Wagner-RS

ADDRESS OF AUTHOR: Corneal and Refractive Surgery Service, University of Cincinnati, USA.

SOURCE (BIBLIOGRAPHIC CITATION): J-Ophthalmic-Nurs-Technol. 1999 Jul-Aug; 18(4): 172-6

INTERNATIONAL STANDARD SERIAL NUMBER: 0744-7132

PUBLICATION YEAR: 1999

LANGUAGE OF ARTICLE: ENGLISH

COUNTRY OF PUBLICATION: UNITED-STATES

MINOR MESH HEADINGS: Child,-Preschool; Corneal-Diseases-pathology; Dermoid-Cyst-pathology; Eye-Neoplasms-pathology

MAJOR MeSH HEADINGS: *Corneal-Diseases-therapy; *Dermoid-Cyst-therapy; *Eye-Neoplasms-therapy; *Goldenhar-Syndrome-therapy

CHECKTAGS: Case-Report; Human; Male

PUBLICATION TYPE: CLINICAL-CONFERENCE; JOURNAL-ARTICLE

MEDLINE ACCESSION NUMBER: 20306405

UPDATE CODE: 200008

SUBSET: NURSING

Record 11 of 99 in MEDLINE EXPRESS (R) 2000/01-2000/10

TITLE: [Congenital corneal anesthesia in children: diagnostic and therapeutic problems]

ORIGINAL TITLE: Anesthesie corneenne congenitale chez l'enfant : problemes diagnostiques et therapeutiques.

AUTHOR(S): Momtchilova-M; Pelosse-B; Mathieu-S; Laroche-L; Billette-de-Villemeur-T

ADDRESS OF AUTHOR: Service d'Ophtalmologie.

SOURCE (BIBLIOGRAPHIC CITATION): J-Fr-Ophtalmol. 2000 Mar; 23(3): 245-8

INTERNATIONAL STANDARD SERIAL NUMBER: 0181-5512

PUBLICATION YEAR: 2000

LANGUAGE OF ARTICLE: FRENCH; NON-ENGLISH

COUNTRY OF PUBLICATION: FRANCE

ABSTRACT: Congenital corneal anesthesia (CCA) is an uncommon condition difficult to diagnose. We report the case of a 9-month-old girl who presented bilateral congenital corneal anesthesia. The child had a corneal ulcer which had been unresponsive to adapted local treatment. Self-inflicted corneal injuries were present. Local treatment and arm splints led to quick healing. CCA occurs either alone or in association with neurological diseases (familial dysautonomia) or systemic congenital abnormalities (Goldenhar Gorlin syndrome). It is important to search for corneal anesthesia in children with chronic ulcerations of the cornea and self-inflicted injuries. Early diagnosis is important due to the risk for the visual prognosis. Short and longterm prevention of self-inflicted corneal injuries should be associated with a local treatment to assure rapid healing and a relapse free outcome.

MINOR MESH HEADINGS: Corneal-Ulcer-diagnosis; Diagnosis,-Differential; English-Abstract; Face-abnormalities; Goldenhar-Syndrome-diagnosis; Infant-; Prognosis-; Self-Mutilation-diagnosis; Self-Mutilation-prevention-and-control

MAJOR MeSH HEADINGS: *Cornea-injuries; *Corneal-Diseases-diagnosis; *Pain-Insensitivity,-Congenital-diagnosis; *Self-Mutilation

CHECKTAGS: Case-Report; English-Abstract; Female; Human

PUBLICATION TYPE: JOURNAL-ARTICLE

MEDLINE ACCESSION NUMBER: 20206802

UPDATE CODE: 200008

Record 12 of 99 in MEDLINE EXPRESS (R) 2000/01-2000/10

TITLE: Congenital anomalies in patients with Duane retraction syndrome and their relatives.

AUTHOR(S): Marshman-WE; Schalit-G; Jones-RB; Lee-JP; Matthews-TD; McCabe-S

ADDRESS OF AUTHOR: Strabismus and Paediatric Service and the Department of Orthoptics, Moorfields Eye Hospital, City Road, London, England.

SOURCE (BIBLIOGRAPHIC CITATION): J-AAPOS. 2000 Apr; 4(2): 106-9

INTERNATIONAL STANDARD SERIAL NUMBER: 1091-8531

PUBLICATION YEAR: 2000

LANGUAGE OF ARTICLE: ENGLISH

COUNTRY OF PUBLICATION: UNITED-STATES

ABSTRACT: PURPOSE: Although the high incidence of skeletal, neural, and other ocular problems has been identified in previous reports of large cohorts of patients with Duane syndrome, there has not been any documentation of anomalies in close relatives. Patients with Duane syndrome have a greater than 50% incidence of associated abnormalities that include deafness, other ocular anomalies, cranial nerve palsies, and skeletal abnormalities. This study was undertaken to review the experience of our strabismus service with patients who have Duane retraction syndrome (DRS) and to delineate the associated anomalies in them and their first-degree relatives. METHODS: A prospective study of all patients with Duane syndrome who were seen at the strabismus service at Moorfields Eye Hospital has been ongoing for the last 4 years. All patients were assessed for the presence of ophthalmologic features of DRS and then referred to the pediatric service for a physical and neurologic examination. First-degree relatives were also examined, and a family pedigree was generated. RESULTS: We have evaluated 68 patients with DRS, of which 60.2% were female patients. The left eye was involved at a ratio of 4:1 in unilateral cases. The number of bilateral cases was 57.3%. Among the patients with DRS, 46% had first-degree relatives with associated abnormalities. CONCLUSIONS: The high incidence of associated anomalies in patients and first-degree relatives may suggest that a common genetic defect is responsible. This has to be confirmed with molecular genetic studies, which were not performed on these families because of a lack of available resources. However, our findings may indicate that the inheritance of Duane syndrome is much higher than the 10% previously reported, if any congenital abnormality is accepted as DRS associated. Children with Duane syndrome may benefit from a full medical assessment, in view of the frequency of other abnormalities, and so may their siblings.

MINOR MESH HEADINGS: Child-; Duane-Retraction-Syndrome-complications; Goldenhar-Syndrome-genetics; Pedigree-; Prospective-Studies

MAJOR MeSH HEADINGS: *Abnormalities,-Multiple-genetics; *Bone-and-Bones-abnormalities; *Duane-Retraction-Syndrome-genetics; *Ear-abnormalities; *Eye-Abnormalities-genetics; *Nervous-System-Malformations-genetics

CHECKTAGS: Comparative-Study; Female; Human; Male; Support,-Non-U.S.-Gov't

PUBLICATION TYPE: JOURNAL-ARTICLE

MEDLINE ACCESSION NUMBER: 20238154

UPDATE CODE: 200008

Record 13 of 99 in MEDLINE EXPRESS (R) 2000/01-2000/10

TITLE: A modified nasopharyngeal tube to relieve high upper airway obstruction.

AUTHOR(S): Chang-AB; Masters-IB; Williams-GR; Harris-M; O'Neil-MC

ADDRESS OF AUTHOR: Department of Respiratory Medicine, Mater Misericordiae Children's Hospital, South Brisbane, Queensland, Australia.

SOURCE (BIBLIOGRAPHIC CITATION): Pediatr-Pulmonol. 2000 Apr; 29(4): 299-306

INTERNATIONAL STANDARD SERIAL NUMBER: 8755-6863

PUBLICATION YEAR: 2000

LANGUAGE OF ARTICLE: ENGLISH

COUNTRY OF PUBLICATION: UNITED-STATES

ABSTRACT: Infants with high upper airway obstruction (UAO) are managed with a variety of techniques to relieve their UAO. Among these techniques, the least invasive and safest is the nasopharyngeal tube (NPT). However, the traditional NPT is not always satisfactory, and tracheostomies need to be done. We recently described a modified NPT technique that, in contrast to the traditional tube, does not add airway dead space and resistance, is easy to use, is well-tolerated, has proven highly successful, and allows the simultaneous use of oxygen nasal prongs. This modified NPT has many advantages over the traditional NPT as a temporary management of high UAO that resolves with growth of the infant. This report highlights the respiratory care of 10 infants with high UAO (Pierre Robin syndrome, Down syndrome, Goldenhar syndrome, isolated microngathia, and idiopathic hypotonia) who were managed with a modified NPT. The modified NPT described potentially reduces the need for surgical intervention to relieve high UAO in infants. Copyright 2000 Wiley-Liss, Inc.

MINOR MESH HEADINGS: Airway-Obstruction-etiology; Infant,-Newborn; Intubation-methods; Pierre-Robin-Syndrome-complications; Pierre-Robin-Syndrome-therapy; Polysomnography-

MAJOR MeSH HEADINGS: *Airway-Obstruction-therapy; *Intubation-instrumentation; *Nasopharynx-

CHECKTAGS: Case-Report; Female; Human; Male

PUBLICATION TYPE: JOURNAL-ARTICLE

MEDLINE ACCESSION NUMBER: 20202513

UPDATE CODE: 200006

Record 14 of 99 in MEDLINE EXPRESS (R) 2000/01-2000/10

TITLE: [Mixed hearing loss in the case of Goldenhar-Gorlin syndrome]

ORIGINAL TITLE: Niedosluch mieszany w zespole Goldenhara-Gorlina.

AUTHOR(S): Obrebowski-A; Krasny-J; Wojnowski-W; Kurywczak-Grykiel-K

ADDRESS OF AUTHOR: Klinika Foniatrii i Audiologii Akademii Medycznej, Poznaniu.

SOURCE (BIBLIOGRAPHIC CITATION): Otolaryngol-Pol. 1999; 53(5): 639-41

INTERNATIONAL STANDARD SERIAL NUMBER: 0030-6657

PUBLICATION YEAR: 1999

LANGUAGE OF ARTICLE: POLISH; NON-ENGLISH

COUNTRY OF PUBLICATION: POLAND

ABSTRACT: The authors describe a rare case of Goldenhar-Gorlin Syndrome, also called oculoauriculovertebral dysplasia (OAV) or hemifacial microsomia. Goldenhar's syndrome was accompanied by hearing loss caused by deformity of the auricle and atresia of the external auditory canal.

MINOR MESH HEADINGS: Audiometry,-Pure-Tone-methods; Child,-Preschool; English-Abstract; Evoked-Potentials,-Auditory,-Brain-Stem-physiology; Hearing-Loss,-Conductive-diagnosis; Hearing-Loss,-Sensorineural-diagnosis

MAJOR MeSH HEADINGS: *Goldenhar-Syndrome-complications; *Goldenhar-Syndrome-diagnosis; *Hearing-Loss,-Conductive-complications; *Hearing-Loss,-Sensorineural-complications

CHECKTAGS: Case-Report; English-Abstract; Female; Human

PUBLICATION TYPE: JOURNAL-ARTICLE

MEDLINE ACCESSION NUMBER: 20154517

UPDATE CODE: 200005

Record 15 of 99 in MEDLINE EXPRESS (R) 2000/01-2000/10

TITLE: Rapid protyping technology in medicine--basics and applications.

AUTHOR(S): Petzold-R; Zeilhofer-HF; Kalender-WA

ADDRESS OF AUTHOR: Institute of Medical Physics, University of Erlangen-Nuremberg, Erlangen, Germany. ralf.petzold@imp.uni-erlangen.de

SOURCE (BIBLIOGRAPHIC CITATION): Comput-Med-Imaging-Graph. 1999 Sep-Oct; 23(5): 277-84

INTERNATIONAL STANDARD SERIAL NUMBER: 0895-6111

PUBLICATION YEAR: 1999

LANGUAGE OF ARTICLE: ENGLISH

COUNTRY OF PUBLICATION: UNITED-STATES

ABSTRACT: Using medical models built with Rapid Prototyping (RP) technologies represents a new approach for surgical planning and simulation. These techniques allow one to reproduce anatomical objects as 3D physical models, which give the surgeon a realistic impression of complex structures before a surgical intervention. The shift from the visual to the visual-tactile representation of anatomical objects introduces a new kind of interaction called 'touch to comprehend'. As can be seen, from the presented case studies of maxillo-cranio-facial surgery, the RP models are very well suited for use in the diagnosis and the precise preoperative simulation of skeleton modifying interventions.

MINOR MESH HEADINGS: Acrocephalosyndactylia-surgery; Adult-; Child,-Preschool; Craniosynostoses-surgery; Diagnostic-Imaging; Goldenhar-Syndrome-surgery; Lasers-; Osteotomy,-Le-Fort-methods; Plastics-; Polyurethanes-; Resins,-Synthetic; Therapy,-Computer-Assisted

MAJOR MeSH HEADINGS: *Computer-Aided-Design; *Face-surgery; *Jaw-surgery; *Models,-Anatomic; *Patient-Care-Planning; *Skull-surgery

CHECKTAGS: Case-Report; Human

PUBLICATION TYPE: JOURNAL-ARTICLE

CAS REGISTRY NUMBER OR EC NUMBER: 0; 0; 0

NAME OF SUBSTANCE: Plastics; Polyurethanes; Resins,-Synthetic

MEDLINE ACCESSION NUMBER: 20102196

UPDATE CODE: 200004

Record 16 of 99 in MEDLINE EXPRESS (R) 2000/01-2000/10

TITLE: Epidemiology of cleft lip and palate in Singapore--a 10-year hospital-based study.

AUTHOR(S): Yi-NN; Yeow-VK; Lee-ST

ADDRESS OF AUTHOR: Department of Plastic Surgery, Singapore General Hospital, Singapore.

SOURCE (BIBLIOGRAPHIC CITATION): Ann-Acad-Med-Singapore. 1999 Sep; 28(5): 655-9

INTERNATIONAL STANDARD SERIAL NUMBER: 0304-4602

PUBLICATION YEAR: 1999

LANGUAGE OF ARTICLE: ENGLISH

COUNTRY OF PUBLICATION: SINGAPORE

ABSTRACT: During the study period from January 1985 to December 1994, there were 1105 new cleft cases seen in the Department of Plastic Surgery, Singapore General Hospital. These included newborn as well as unoperated children and adult cases. During the same period, the total number of recorded births in Singapore was 474,542. Out of the 1105 new cleft cases seen, 984 were Singaporeans. The incidence of this hospital-based study of cleft population in Singapore was 2.07 per 1000 livebirths. Chinese had the highest incidence of 1.64 per 1000 as compared to Malay, Indian and other races. The most common type of cleft deformity was complete cleft lip and palate. The left side was found to be more affected than the right side in all types of cleft deformity. There was no significant difference in sex distribution; the male to female ratio was 1.1:1. However, females had a higher incidence of cleft palate than males. Associated congenital deformities occurred in 1.5% of the total cleft population.

MINOR MESH HEADINGS: Acrocephalosyndactylia-complications; Cleft-Lip-complications; Cleft-Lip-surgery; Cleft-Palate-complications; Cleft-Palate-surgery; Goldenhar-Syndrome-complications; Heart-Defects,-Congenital-complications; Hospitals-statistics-and-numerical-data; Infant,-Newborn; Lip-abnormalities; Lip-surgery; Palate-abnormalities; Palate-surgery; Pierre-Robin-Syndrome-complications; Retrospective-Studies; Sex-Factors; Singapore-epidemiology; Time-Factors

MAJOR MeSH HEADINGS: *Cleft-Lip-epidemiology; *Cleft-Palate-epidemiology

CHECKTAGS: Female; Human; Male

PUBLICATION TYPE: JOURNAL-ARTICLE

MEDLINE ACCESSION NUMBER: 20065217

UPDATE CODE: 200003

Record 17 of 99 in MEDLINE EXPRESS (R) 1997-1999

TITLE: Cervical vertebral anomalies in patients with anomalies of the head and neck.

AUTHOR(S): Manaligod-JM; Bauman-NM; Menezes-AH; Smith-RJ

ADDRESS OF AUTHOR: Department of Otolaryngology-Head and Neck Surgery, University of Iowa Hospitals and Clinics, Iowa City, USA.

SOURCE (BIBLIOGRAPHIC CITATION): Ann-Otol-Rhinol-Laryngol. 1999 Oct; 108(10): 925-33

INTERNATIONAL STANDARD SERIAL NUMBER: 0003-4894

PUBLICATION YEAR: 1999

LANGUAGE OF ARTICLE: ENGLISH

COUNTRY OF PUBLICATION: UNITED-STATES

ABSTRACT: Congenital head and neck anomalies can occur in association with vertebral anomalies, particularly of the cervical vertebrae. While the former are easily recognized, especially when part of a syndrome, the latter are often occult, thereby delaying their diagnosis. The presence of vertebral anomalies must be considered in pediatric patients with head and neck abnormalities to expedite management of select cases and to prevent neurologic injury. We present our experience with 5 pediatric patients who were referred to the Department of Otolaryngology-Head and Neck Surgery at the University of Iowa with a variety of syndromic anomalies of the head and neck. Each patient was subsequently also found to have a vertebral anomaly. The relevant embryogenesis of the anomalous structures is discussed, with highlighting of potential causes such as teratogenic agents and events and germ-line mutations. A review of syndromes having both head and neck and vertebral anomalies is presented to heighten awareness of otolaryngologists evaluating children with syndromic disorders. Finally, the findings on radiographic imaging studies, particularly computed tomography, are discussed to facilitate the prompt diagnosis of vertebral anomalies.

MINOR MESH HEADINGS: Abnormalities,-Multiple; Adolescence-; Cervical-Vertebrae-radiography; Child-; Down-Syndrome-diagnosis; Goldenhar-Syndrome-diagnosis; Head-radiography; Infant-; Klippel-Feil-Syndrome-diagnosis; Neck-radiography; Tomography,-X-Ray-Computed

MAJOR MeSH HEADINGS: *Cervical-Vertebrae-abnormalities; *Head-abnormalities; *Neck-abnormalities

CHECKTAGS: Case-Report; Female; Human; Male

PUBLICATION TYPE: JOURNAL-ARTICLE

MEDLINE ACCESSION NUMBER: 99453970

UPDATE CODE: 200001

SUBSET: AIM

Record 18 of 99 in MEDLINE EXPRESS (R) 1997-1999

TITLE: Auditory and facial nerve dysfunction in patients with hemifacial microsomia.

AUTHOR(S): Carvalho-GJ; Song-CS; Vargervik-K; Lalwani-AK

ADDRESS OF AUTHOR: Department of Otolaryngology-Head and Neck Surgery, University of California, San Francisco, USA.

SOURCE (BIBLIOGRAPHIC CITATION): Arch-Otolaryngol-Head-Neck-Surg. 1999 Feb; 125(2): 209-12

INTERNATIONAL STANDARD SERIAL NUMBER: 0886-4470

PUBLICATION YEAR: 1999

LANGUAGE OF ARTICLE: ENGLISH

COUNTRY OF PUBLICATION: UNITED-STATES

ABSTRACT: BACKGROUND: Hemifacial microsomia (HFM) is a common craniofacial disorder characterized by a wide spectrum of anomalies, including conductive hearing loss due to external and middle ear deformities. However, the prevalence of sensorineural hearing loss (SNHL) as well as facial nerve dysfunction is underappreciated. OBJECTIVE: To determine the frequency of auditory and facial nerve dysfunction and its relationship to more severe forms of bilateral HFM. DESIGN: Retrospective medical record review to characterize the clinical severity of HFM and the prevalence and nature of the associated auditory and facial nerve dysfunction. SETTING: Center for Craniofacial Anomalies at the University of California, San Francisco, Medical Center. PATIENTS: Ninety-nine pediatric patients with HFM evaluated at the University of California, San Francisco, Medical Center. MAIN OUTCOME MEASURES: The prevalence of SNHL and facial nerve dysfunction in this patient population and any associations between these 2 characteristics. RESULTS: Hearing loss was present in 74 (75%) of 99 patients, with a conductive component in 73 patients. Sensorineural hearing loss was present in 11 patients ( 11%), with mixed hearing loss in most patients. Fourteen patients required rehabilitation with auditory amplification. Nearly a quarter of the patients (22 [22%] of 99) had facial nerve dysfunction, but only 1 patient had facial palsy on the same side as the SNHL. There was a statistically significant association between having auricular abnormalities and conductive hearing loss or SNHL (P = .30 and .80, respectively). However, there was no statistically significant association between bilateral HFM and the occurrence of either SNHL or facial paralysis, nor was there an association between auditory and facial nerve dysfunction. CONCLUSIONS: Sensorineural hearing loss and facial nerve dysfunction are common in HFM. These findings have important implications in the treatment of patients with HFM.

MINOR MESH HEADINGS: Adolescence-; Child-; Child,-Preschool; Facial-Asymmetry-diagnosis; Facial-Asymmetry-physiopathology; Facial-Paralysis-congenital; Facial-Paralysis-diagnosis; Facial-Paralysis-physiopathology; Goldenhar-Syndrome-physiopathology; Hearing-Loss,-Conductive-congenital; Hearing-Loss,-Conductive-diagnosis; Hearing-Loss,-Conductive-physiopathology; Hearing-Loss,-Sensorineural-congenital; Hearing-Loss,-Sensorineural-diagnosis; Hearing-Loss,-Sensorineural-physiopathology; Infant-; Retrospective-Studies; San-Francisco

MAJOR MeSH HEADINGS: *Facial-Asymmetry-congenital; *Facial-Nerve-physiopathology; *Goldenhar-Syndrome-diagnosis; *Vestibulocochlear-Nerve-physiopathology

CHECKTAGS: Female; Human; Male

PUBLICATION TYPE: JOURNAL-ARTICLE

MEDLINE ACCESSION NUMBER: 99154892

UPDATE CODE: 199905

SUBSET: AIM

Record 19 of 99 in MEDLINE EXPRESS (R) 1997-1999

TITLE: Mesenchymal chondrosarcoma associated with Goldenhar's syndrome.

AUTHOR(S): Ostlere-SJ; McDonald-B; Athanasou-NA

ADDRESS OF AUTHOR: Department of Pathology and Radiology, Nuffield Orthopaedic Centre, Oxford OX3 7LD, UK.

SOURCE (BIBLIOGRAPHIC CITATION): Arch-Orthop-Trauma-Surg. 1999; 119(5-6): 347-8

INTERNATIONAL STANDARD SERIAL NUMBER: 0936-8051

PUBLICATION YEAR: 1999

LANGUAGE OF ARTICLE: ENGLISH

COUNTRY OF PUBLICATION: GERMANY

ABSTRACT: Goldenhar's syndrome is characterised by bony abnormalities of the face, jaw and vertebral column. We report the first case of the development of a primary malignant neoplasm (mesenchymal chondrosarcoma) initially misdiagnosed as a meningioma, occurring in association with this syndrome.

MINOR MESH HEADINGS: Adult-; Bone-Neoplasms-complications; Bone-Neoplasms-diagnosis; Bone-Neoplasms-surgery; Chondrosarcoma-complications; Chondrosarcoma-diagnosis; Chondrosarcoma-surgery; Diagnosis,-Differential; Goldenhar-Syndrome-complications; Goldenhar-Syndrome-diagnosis; Goldenhar-Syndrome-surgery; Meningeal-Neoplasms-complications; Meningeal-Neoplasms-diagnosis; Meningeal-Neoplasms-surgery; Meningioma-complications; Meningioma-diagnosis; Meningioma-surgery; Mesoderm-pathology; Tomography,-X-Ray-Computed

MAJOR MeSH HEADINGS: *Bone-Neoplasms-pathology; *Chondrosarcoma-pathology; *Goldenhar-Syndrome-pathology; *Meningeal-Neoplasms-pathology; *Meningioma-pathology

CHECKTAGS: Case-Report; Human; Male

PUBLICATION TYPE: JOURNAL-ARTICLE

MEDLINE ACCESSION NUMBER: 99376665

UPDATE CODE: 199912

Record 20 of 99 in MEDLINE EXPRESS (R) 1997-1999

TITLE: Microtia: a clinical and genetic study at the National Institute of Pediatrics in Mexico City.

AUTHOR(S): Llano-Rivas-I; Gonzalez-del-Angel-A; del-Castillo-V; Reyes-R; Carnevale-A

ADDRESS OF AUTHOR: Departamento de Investigacion en Genetica Humana, Instituto Nacional de Pediatria, Secretaria de Salud, Mexico, D.F., Mexico.

SOURCE (BIBLIOGRAPHIC CITATION): Arch-Med-Res. 1999 Mar-Apr; 30(2): 120-4

INTERNATIONAL STANDARD SERIAL NUMBER: 0188-0128

PUBLICATION YEAR: 1999

LANGUAGE OF ARTICLE: ENGLISH

COUNTRY OF PUBLICATION: MEXICO

ABSTRACT: BACKGROUND: Microtia is a malformation of the ear with extreme variability of expression. It is generally seen as an isolated malformation. However, some authors consider it to be a minimal manifestation of the oculo-auriculo-vertebral spectrum (OAVS), where, in addition, there are facial, vertebral, and renal abnormalities, among others. METHODS: A total of 145 pediatric patients with unilateral or bilateral microtia not considered as part of a syndrome were studied. All patients were subjected to an intentional clinical examination, a familial history, and radiographic imaging studies for ruling out associated malformations. Patients were classified into two groups: group 1 (60%), with isolated microtia; and group 2 (40%), considered as OAVS, with microtia associated with hemifacial skeletal microsomia, vertebral and/or renal malformations. RESULTS: No significant differences were found between the groups when the following variables were compared: gender; presence of unilateral or bilateral microtia; atretic external auditory canal; presence of preauricular tags; hearing loss of any type, and affection of the seventh cranial nerve, as well as associated malformations of other organs or systems. There were significant differences in relation to the presence of soft-tissue hemifacial microsomia, more frequently seen in patients with OAVS, because the majority of these patients had bone microsomia. Over 66% of the cases were sporadic and the rest were familiar. In 28.3% of the cases, the history suggested an autosomal-dominant inheritance pattern, and in 5.5%, an autosomal-recessive inheritance pattern, although in some familial cases, multifactorial inheritance could not be ignored. Some members in several families had isolated microtia, and others had mild characteristic manifestations of OAVS. CONCLUSIONS: Our results support the hypothesis that isolated microtia is a minimal expression of OAVS. Therefore, it is recommended that patients with microtia be subjected to intentional studies that search for malformations and physical examinations of first-degree relatives for adequate genetic counseling and management.

MINOR MESH HEADINGS: Abnormalities-epidemiology; Adolescence-; Child-; Child,-Preschool; Goldenhar-Syndrome-epidemiology; Goldenhar-Syndrome-genetics; Goldenhar-Syndrome-pathology; Government-Agencies; Infant-; Mexico-epidemiology; Pediatrics-; Pedigree-

MAJOR MeSH HEADINGS: *Ear-abnormalities

CHECKTAGS: Female; Human; Male

PUBLICATION TYPE: JOURNAL-ARTICLE

MEDLINE ACCESSION NUMBER: 99301033

UPDATE CODE: 199909

Record 21 of 99 in MEDLINE EXPRESS (R) 1997-1999

TITLE: Goldenhar anomaly in one of triplets derived from in vitro fertilization [letter]

AUTHOR(S): Ferraris-S; Silengo-M; Ponzone-A; Perugini-L

SOURCE (BIBLIOGRAPHIC CITATION): Am-J-Med-Genet. 1999 May 21; 84(2): 167-8

INTERNATIONAL STANDARD SERIAL NUMBER: 0148-7299

PUBLICATION YEAR: 1999

LANGUAGE OF ARTICLE: ENGLISH

COUNTRY OF PUBLICATION: UNITED-STATES

MINOR MESH HEADINGS: Diagnosis,-Differential; Infant,-Newborn

MAJOR MeSH HEADINGS: *Fertilization-in-Vitro; *Goldenhar-Syndrome-diagnosis; *Triplets-

CHECKTAGS: Female; Human

PUBLICATION TYPE: LETTER

MEDLINE ACCESSION NUMBER: 99255343

UPDATE CODE: 199909

Record 22 of 99 in MEDLINE EXPRESS (R) 1997-1999

TITLE: Treatment of epibulbar limbal dermoids.

AUTHOR(S): Kaufman-A; Medow-N; Phillips-R; Zaidman-G

ADDRESS OF AUTHOR: Corneal and Refractive Surgery Service, University of Cincinnati, Ohio, USA.

SOURCE (BIBLIOGRAPHIC CITATION): J-Pediatr-Ophthalmol-Strabismus. 1999 May-Jun; 36(3): 136-40

INTERNATIONAL STANDARD SERIAL NUMBER: 0191-3913

PUBLICATION YEAR: 1999

LANGUAGE OF ARTICLE: ENGLISH

COUNTRY OF PUBLICATION: UNITED-STATES

MINOR MESH HEADINGS: Astigmatism-etiology; Child,-Preschool; Corneal-Diseases-complications; Corneal-Diseases-pathology; Dermoid-Cyst-complications; Dermoid-Cyst-pathology; Eye-Neoplasms-complications; Eye-Neoplasms-pathology; Goldenhar-Syndrome-complications; Orbit-; Visual-Acuity

MAJOR MeSH HEADINGS: *Corneal-Diseases-surgery; *Dermoid-Cyst-surgery; *Eye-Neoplasms-surgery; *Limbus-Corneae-pathology

CHECKTAGS: Human; Male

PUBLICATION TYPE: JOURNAL-ARTICLE

MEDLINE ACCESSION NUMBER: 99286869

UPDATE CODE: 199909

Record 23 of 99 in MEDLINE EXPRESS (R) 1997-1999

TITLE: Management of difficult airways with a laryngeal mask airway under propofol anaesthesia.

AUTHOR(S): Bahk-JH; Han-SM; Kim-SD

ADDRESS OF AUTHOR: Department of Anaesthesiology, Seoul National University Hospital, Korea.

SOURCE (BIBLIOGRAPHIC CITATION): Paediatr-Anaesth. 1999; 9(2): 163-6

INTERNATIONAL STANDARD SERIAL NUMBER: 1155-5645

PUBLICATION YEAR: 1999

LANGUAGE OF ARTICLE: ENGLISH

COUNTRY OF PUBLICATION: FRANCE

ABSTRACT: We report four cases of difficult airway managed with a laryngeal mask airway (LMA) under propofol anaesthesia; this method was chosen to minimize psychological and physical trauma. Case 1 was a boy with dermatomyositis; Case 2, a girl wearing a base ring of a stereotactic frame; Case 3, a boy with Treacher-Collins syndrome; Case 4, a boy with Goldenhar syndrome. They were anaesthesized with propofol and though spontaneous ventilation became shallower, or apnoea occurred, the stimulus of inserting an LMA awakened the patient and caused more active spontaneous ventilation while a patent airway was established by the LMA. All tracheal intubations were performed smoothly and without delay through the LMA, and we believe that psychological and physical trauma was thus minimized.

MINOR MESH HEADINGS: Child-; Child,-Preschool

MAJOR MeSH HEADINGS: *Anesthesia-; *Anesthetics,-Intravenous; *Intubation,-Intratracheal-methods; *Laryngeal-Masks; *Propofol-

CHECKTAGS: Case-Report; Female; Human; Male

PUBLICATION TYPE: JOURNAL-ARTICLE

CAS REGISTRY NUMBER OR EC NUMBER: 0; 2078-54-8

NAME OF SUBSTANCE: Anesthetics,-Intravenous; Propofol

MEDLINE ACCESSION NUMBER: 99205658

UPDATE CODE: 199907

Record 24 of 99 in MEDLINE EXPRESS (R) 1997-1999

TITLE: Molecular analysis of SALL1 mutations in Townes-Brocks syndrome.

AUTHOR(S): Kohlhase-J; Taschner-PE; Burfeind-P; Pasche-B; Newman-B; Blanck-C; Breuning-MH; ten-Kate-LP; Maaswinkel-Mooy-P; Mitulla-B; Seidel-J; Kirkpatrick-SJ; Pauli-RM; Wargowski-DS; Devriendt-K; Proesmans-W; Gabrielli-O; Coppa-GV; Wesby-van-Swaay-E; Trembath-RC; Schinzel-AA; Reardon-W; Seemanova-E; Engel-W

ADDRESS OF AUTHOR: Institute for Human Genetics, University of Gottingen, Gosslerstr. 12d, D-37073Gottingen, Germany. jkohlha@gwdg.de

SOURCE (BIBLIOGRAPHIC CITATION): Am-J-Hum-Genet. 1999 Feb; 64(2): 435-45

INTERNATIONAL STANDARD SERIAL NUMBER: 0002-9297

PUBLICATION YEAR: 1999

LANGUAGE OF ARTICLE: ENGLISH

COUNTRY OF PUBLICATION: UNITED-STATES

ABSTRACT: Townes-Brocks syndrome (TBS) is an autosomal dominantly inherited malformation syndrome characterized by anal, renal, limb, and ear anomalies. Recently, we showed that mutations in the putative zinc finger transcription factor gene SALL1 cause TBS. To determine the spectrum of SALL1 mutations and to investigate the genotype-phenotype correlations in TBS, we examined 23 additional families with TBS or similar phenotypes for SALL1 mutations. In 9 of these families mutations were identified. None of the mutations has previously been described. Two of these mutations are nonsense mutations, one of which occurred in three unrelated families. Five of the mutations are short deletions. All of the mutations are located 5' of the first double zinc finger (DZF) encoding region and are therefore predicted to result in putative prematurely terminated proteins lacking all DZF domains. This suggests that only SALL1 mutations that remove the DZF domains result in TBS. We also present evidence that in rare cases SALL1 mutations can lead to phenotypes similar to Goldenhar syndrome. However, phenotypic differences in TBS do not seem to depend on the site of mutation.

MINOR MESH HEADINGS: Anus,-Imperforate-genetics; Base-Sequence; Cloning,-Molecular; Exons-; Frameshift-Mutation; Hearing-Loss,-Sensorineural-genetics; Molecular-Sequence-Data; Pedigree-; Polymorphism-Genetics; Syndrome-

MAJOR MeSH HEADINGS: *Abnormalities,-Multiple-genetics; *Mutation-; *Transcription-Factors-genetics; *Zinc-Fingers-genetics

CHECKTAGS: Female; Human; Male

PUBLICATION TYPE: JOURNAL-ARTICLE

CAS REGISTRY NUMBER OR EC NUMBER: 0; 0

NAME OF SUBSTANCE: Hsal1-protein; Transcription-Factors

MEDLINE ACCESSION NUMBER: 99138656

UPDATE CODE: 199906

SECONDARY SOURCE IDENTIFIER: GENBANK/Y18264; GENBANK/Y18265; GENBANK/X98833

Record 25 of 99 in MEDLINE EXPRESS (R) 1997-1999

TITLE: [Anomalies of the efferent lacrimal ducts in Goldenhar syndrome (news)]

ORIGINAL TITLE: Anomalien der ableitenden Tranenwege bei Goldenhar-Syndrom.

AUTHOR(S): Luchtenberg-M; Blotiu-A; Lindemann-G; Emmerich-KH

ADDRESS OF AUTHOR: Augenklinik Klinikum Darmstadt.

SOURCE (BIBLIOGRAPHIC CITATION): Klin-Monatsbl-Augenheilkd. 1998 Dec; 213(6): aA8-9

INTERNATIONAL STANDARD SERIAL NUMBER: 0023-2165

PUBLICATION YEAR: 1998

LANGUAGE OF ARTICLE: GERMAN; NON-ENGLISH

COUNTRY OF PUBLICATION: GERMANY

MINOR MESH HEADINGS: Dacryocystitis-therapy; Goldenhar-Syndrome-therapy; Infant-; Lacrimal-Duct-Obstruction-therapy

MAJOR MeSH HEADINGS: *Dacryocystitis-diagnosis; *Goldenhar-Syndrome-diagnosis; *Lacrimal-Apparatus-abnormalities; *Lacrimal-Duct-Obstruction-diagnosis

CHECKTAGS: Case-Report; Female; Human

PUBLICATION TYPE: NEWS

MEDLINE ACCESSION NUMBER: 99157534

UPDATE CODE: 199906

Record 26 of 99 in MEDLINE EXPRESS (R) 1997-1999

TITLE: Transarterial approach of the pulmonary artery in anatomically corrected malposition of the great arteries by manipulating a catheter inverted with balloon floating maneuver.

AUTHOR(S): Lee-ML; Chiu-IS; Wu-MH; Wang-JK; Lue-HC; Chaou-WT; Tsao-LY

ADDRESS OF AUTHOR: Department of Pediatrics, Changhua Christian Hospital, Taiwan.

SOURCE (BIBLIOGRAPHIC CITATION): Int-J-Cardiol. 1998 Nov 30; 67(1): 1-7

INTERNATIONAL STANDARD SERIAL NUMBER: 0167-5273

PUBLICATION YEAR: 1998

LANGUAGE OF ARTICLE: ENGLISH

COUNTRY OF PUBLICATION: IRELAND

ABSTRACT: We describe two neonates with anatomically corrected malposition of the great arteries (ACM). A 1-day-old female newborn, who had the salient clinical findings of Goldenhar syndrome, behaved like a patient with the tetralogy of Fallot. The cardiac malformations included ACM, perimembranous inlet and outlet ventricular septal defect with tricuspid valve straddling, conoventricular septal malaligement, bilateral cori without aortic-mitral continuity, pulmonary stenosis at subvalvular, valvular, and supravalvular levels, and bicuspid semilunar valves. After the procedure of left Blalock-Taussig shunt at 3 months of age, cyanosis was alleviated. The other 1-month-old male newborn, who presented with prolonged feeding, tachypnea and tachycardia, likened to a patient with the hypoplastic left heart syndrome. He had a combination of ACM, mitral stenosis, hypoplastic left atrium and left ventricle, a restrictive patent foramen ovale, ventricular septal defect, subaortic conus without aortic-mitral continuity, subaortic stenosis, and a narrow ascending aortic root. Rashkind balloon atrioseptostomy was done with limited success. He survived a Norwood procedure. Transarterial entry of the catheter, which was inverted with the aid of balloon floating maneuver, to hook the retro-aortic pulmonary artery in ACM is recommended.

MINOR MESH HEADINGS: Angiography-; Echocardiography-; Goldenhar-Syndrome-complications; Heart-radiography; Heart-Catheterization-instrumentation; Heart-Defects,-Congenital-complications; Infant,-Newborn; Transposition-of-Great-Vessels-complications

MAJOR MeSH HEADINGS: *Heart-Catheterization-methods; *Pulmonary-Artery; *Transposition-of-Great-Vessels-diagnosis

CHECKTAGS: Case-Report; Female; Human; Male

PUBLICATION TYPE: JOURNAL-ARTICLE

MEDLINE ACCESSION NUMBER: 99094804

UPDATE CODE: 199905

Record 27 of 99 in MEDLINE EXPRESS (R) 1997-1999

TITLE: [Goldenhar's syndrome: a case report]

ORIGINAL TITLE: Sindrome de Goldenhar. A proposito de un caso.

AUTHOR(S): Altamar-Rios-J

ADDRESS OF AUTHOR: Servicio de O.R.L. Hospital Departamental, Villavicencio, Colombia.

SOURCE (BIBLIOGRAPHIC CITATION): An-Otorrinolaringol-Ibero-Am. 1998; 25(5): 491-7

INTERNATIONAL STANDARD SERIAL NUMBER: 0303-8874

PUBLICATION YEAR: 1998

LANGUAGE OF ARTICLE: SPANISH; NON-ENGLISH

COUNTRY OF PUBLICATION: SPAIN

ABSTRACT: A 13-mont-old infant bearer of a Goldenhar's syndrome with bilateral aplasia of pinnae, external auditory canals, mastoid processus, glenoid fossaes, condiloid processus, right micro-ophtalmy with micro-cornea and iris coloboma, death from bronchopneumonia, is reported. The AA. suggest as aetiological cause the triphasic conjugation of malnutrition, tobacco addiction and weed-killers, extensively employed in fieldwork. All three causes producing free radicals, which are known for its tera-togeneticy, that break the H bounds of DNA of germinative cells and consequently originating errors of blastogenesis with the corresponding congenital malformations.

MINOR MESH HEADINGS: Cephalosporins-therapeutic-use; English-Abstract; Goldenhar-Syndrome-therapy; Hydrotherapy-methods; Infant-

MAJOR MeSH HEADINGS: *Goldenhar-Syndrome-diagnosis

CHECKTAGS: Case-Report; English-Abstract; Human; Male

PUBLICATION TYPE: JOURNAL-ARTICLE

CAS REGISTRY NUMBER OR EC NUMBER: 0

NAME OF SUBSTANCE: Cephalosporins

MEDLINE ACCESSION NUMBER: 99025018

UPDATE CODE: 199904

Record 28 of 99 in MEDLINE EXPRESS (R) 1997-1999

TITLE: Goldenhar syndrome associated with various cardiovascular malformations.

AUTHOR(S): Nakajima-H; Goto-G; Tanaka-N; Ashiya-H; Ibukiyama-C

ADDRESS OF AUTHOR: Second Department of Internal Medicine, Tokyo Medical College Hospital, Japan.

SOURCE (BIBLIOGRAPHIC CITATION): Jpn-Circ-J. 1998 Aug; 62(8): 617-20

INTERNATIONAL STANDARD SERIAL NUMBER: 0047-1828

PUBLICATION YEAR: 1998

LANGUAGE OF ARTICLE: ENGLISH

COUNTRY OF PUBLICATION: AUSTRALIA

ABSTRACT: This report presents a 54-year-old woman with Goldenhar syndrome featuring an epibulbar dermoid, left microtia and a left preauricular appendage, and synostosis of the vertebrae. Multiple cardiovascular malformations including Wolff-Parkinson-White syndrome, a partial anomalous pulmonary venous connection, patent ductus arteriosus, an anomalous origin of the coronary arteries, and a right-sided descending aorta were revealed by electrocardiography, echocardiography and cardiac catheterization. Goldenhar syndrome is very rare, but the frequency of cardiovascular malformations in this syndrome is 5-58%. It is necessary to perform a careful evaluation of general malformations, especially cardiovascular malformations.

MINOR MESH HEADINGS: Cardiovascular-Abnormalities-radiography; Middle-Age

MAJOR MeSH HEADINGS: *Cardiovascular-Abnormalities-physiopathology; *Goldenhar-Syndrome-physiopathology

CHECKTAGS: Case-Report; Female; Human

PUBLICATION TYPE: JOURNAL-ARTICLE

MEDLINE ACCESSION NUMBER: 98412772

UPDATE CODE: 199903

Record 29 of 99 in MEDLINE EXPRESS (R) 1997-1999

TITLE: Goldenhar syndrome with situs inversus totalis [letter]

AUTHOR(S): Gorgu-M; Aslan-G; Erdooan-B; Karaca-C; Akoz-T

SOURCE (BIBLIOGRAPHIC CITATION): Int-J-Oral-Maxillofac-Surg. 1998 Oct; 27(5): 404

INTERNATIONAL STANDARD SERIAL NUMBER: 0901-5027

PUBLICATION YEAR: 1998

LANGUAGE OF ARTICLE: ENGLISH

COUNTRY OF PUBLICATION: DENMARK

MINOR MESH HEADINGS: Infant-

MAJOR MeSH HEADINGS: *Goldenhar-Syndrome-complications; *Situs-Inversus-complications

CHECKTAGS: Case-Report; Female; Human

PUBLICATION TYPE: LETTER

MEDLINE ACCESSION NUMBER: 99019353

UPDATE CODE: 199903

SUBSET: DENTAL

Record 30 of 99 in MEDLINE EXPRESS (R) 1997-1999

TITLE: Effect of early orthopedic intervention on hemifacial microsomia patients: an approach to a cooperative evaluation of treatment results.

AUTHOR(S): Kahl-Nieke-B; Fischbach-R

ADDRESS OF AUTHOR: Department of Orthodontics, University of Hamburg, Germany.

SOURCE (BIBLIOGRAPHIC CITATION): Am-J-Orthod-Dentofacial-Orthop. 1998 Nov; 114(5): 538-50

INTERNATIONAL STANDARD SERIAL NUMBER: 0889-5406

PUBLICATION YEAR: 1998

LANGUAGE OF ARTICLE: ENGLISH

COUNTRY OF PUBLICATION: UNITED-STATES

ABSTRACT: The purpose of the present study was to analyze the effects of early orthopedic intervention in patients with hemifacial microsomia, clinically as well as radiologically, by computed tomographic examination to assess soft and hard tissue temporomandibular joint changes. Five patients, one with mandibular dysostosis, one with otomandibular dysostosis, two with Goldenhar syndrome, and one with a surgically revised fibroma of the right mandible that was reconstructed by a costochondral graft, were treated by means of an activator functional appliance. During functional appliance treatment, all patients showed improvement of function and occlusion, and facial asymmetry was reduced. Spiral computed tomographic examination before and during treatment provided data on the bony and muscular deficiencies. The volume and density of the lateral pterygoid muscle was measured with the standard computed tomography software. Evaluation of soft and hard tissue conditions before treatment has shown that the most important factor "lack of soft tissues" can be compensated by excellent cooperation during functional therapy. Pretreatment volume of the affected lateral pterygoid muscle in all patients was significantly smaller than on the unaffected side. In three patients, volume measurements between 4 and 8 years demonstrated that the lateral pterygoid muscle on the affected side had a third, less than a third, and a fifth of the volume of the unaffected side. Although increase, stability, and decrease of the ratio of left and right condylar dimension, muscular volume, and density were found, long-term prognosis cannot be given in the cases with extreme muscular deficiencies after cessation of growth. Prepubertal orthopedic treatment success is a desirable and feasible presurgical or nonsurgical treatment goal for the interdisciplinary team approach. From a study of the pathologic, we learn much about the normal.

MINOR MESH HEADINGS: Child-; Child,-Preschool; Dysostoses-radiography; Dysostoses-therapy; Facial-Asymmetry-radiography; Goldenhar-Syndrome-radiography; Goldenhar-Syndrome-therapy; Mandibular-Diseases-radiography; Mandibular-Diseases-therapy; Pterygoid-Muscles-radiography; Temporomandibular-Joint-radiography; Time-Factors; Tomography,-X-Ray-Computed-methods; Treatment-Outcome

MAJOR MeSH HEADINGS: *Facial-Asymmetry-therapy; *Orthodontics,-Corrective

CHECKTAGS: Comparative-Study; Female; Human; Male

PUBLICATION TYPE: JOURNAL-ARTICLE

MEDLINE ACCESSION NUMBER: 99027628

UPDATE CODE: 199902

SUBSET: DENTAL

Record 31 of 99 in MEDLINE EXPRESS (R) 1997-1999

TITLE: Airway management in children with major craniofacial anomalies.

AUTHOR(S): Sculerati-N; Gottlieb-MD; Zimbler-MS; Chibbaro-PD; McCarthy-JG

ADDRESS OF AUTHOR: Department of Otolaryngology, New York University School of Medicine, New York, USA.

SOURCE (BIBLIOGRAPHIC CITATION): Laryngoscope. 1998 Dec; 108(12): 1806-12

INTERNATIONAL STANDARD SERIAL NUMBER: 0023-852X

PUBLICATION YEAR: 1998

LANGUAGE OF ARTICLE: ENGLISH

COUNTRY OF PUBLICATION: UNITED-STATES

ABSTRACT: OBJECTIVES: Delineation of clinical characteristics affecting the airway in a cohort of craniofacially deformed children. What factors differ between patients requiring and those not requiring surgical airway intervention? What factors predispose to the need for tracheotomy? When can decannulation be expected if tracheotomy is required? What interventions aid decannulation? STUDY DESIGN: Five-year retrospective chart review at tertiary center. METHODS: Two hundred fifty-one patients met the following entry criteria: enrollment in the New York University Institute of Reconstructive and Plastic Surgery's Craniofacial Clinic and admission to Tisch Hospital in Manhattan for surgery from 1990 to 1994. Hospital, clinic, and departmental office records were reviewed. All patients had major craniofacial bony anomalies and underwent administration of general anesthesia at least once. RESULTS: Nearly 20% of all children required tracheotomy (47/251). Craniofacial synostosis patients (Crouzon, Pfeiffer, or Apert syndrome) had the highest rate of tracheotomy (48% [28/59]). Mandibulofacial dysostoses patients (Treacher Collins or Nager syndrome) had the next highest rate (41% [28/59]). Patients with oculo-auriculo-vertebral sequence were less likely to undergo tracheotomy (22% [9/41]). Children with craniosynostosis rarely required a surgical airway, unless there was marked associated facial dysmorphism (1% [1/72]). The duration of cannulation was related to the age at tracheotomy in a bimodal distribution. Generally, tracheotomies required before age 4 years remained for several years, whereas those placed after age 4 were removed after several weeks. The presence of a cleft palate correlated with reduced risk for tracheotomy, but the presence of a ventriculoperitoneal shunt correlated with an increased risk for tracheotomy. Procedures selectively used to improve the airway included midface advancement, mandibular expansion, tonsillectomy and adenoidectomy, uvulopalatopharyngoplasty, anterior tongue reduction, and endoscopic tracheal granuloma excision. CONCLUSIONS: The likelihood for surgical airway management is related to specific craniofacial diagnosis. The length of tracheal cannulation is greatest for infants and young children who manifest severe airway compromise, often because of nasal obstruction in combination with other anatomic factors. Early tracheotomy is advocated for these patients to promote optimal growth and development. Choanal atresia is often misdiagnosed in these infants; nasal obstruction is actually secondary to midface retrusion. Staged surgical interventions can allow eventual successful decannulation in nearly all cases of craniofacial syndromes.

MINOR MESH HEADINGS: Adolescence-; Adult-; Child-; Child,-Preschool; Craniofacial-Dysostosis-complications; Craniofacial-Dysostosis-surgery; Goldenhar-Syndrome-complications; Goldenhar-Syndrome-surgery; Infant-; Infant,-Newborn; Mandibulofacial-Dysostosis-complications; Mandibulofacial-Dysostosis-surgery; Retrospective-Studies; Sleep-Apnea-Syndromes-complications

MAJOR MeSH HEADINGS: *Airway-Obstruction-etiology; *Airway-Obstruction-surgery; *Craniofacial-Abnormalities-complications; *Tracheotomy-

CHECKTAGS: Human

PUBLICATION TYPE: JOURNAL-ARTICLE

MEDLINE ACCESSION NUMBER: 99066820

UPDATE CODE: 199902

Record 32 of 99 in MEDLINE EXPRESS (R) 1997-1999

TITLE: Late gestational vascular disruptions inducing craniofacial anomalies: a fetal lamb model.

AUTHOR(S): Escobar-LF; Liechty-EA

ADDRESS OF AUTHOR: Department of Pediatrics, Indiana University, School of Medicine, Indianapolis, USA.

SOURCE (BIBLIOGRAPHIC CITATION): J-Craniofac-Genet-Dev-Biol. 1998 Jul-Sep; 18(3): 159-63

INTERNATIONAL STANDARD SERIAL NUMBER: 0270-4145

PUBLICATION YEAR: 1998

LANGUAGE OF ARTICLE: ENGLISH

COUNTRY OF PUBLICATION: DENMARK

ABSTRACT: We report our preliminary observations in six fetal lambs that were surgically manipulated in utero to impede the blood flow of the carotid arteries and their branches, including the laryngeal artery, the anastomotic branch between the vertebral artery and the occipital artery, the auricularis and the transverse facial arteries. Between 115 and 117 days of gestation (term pregnancy 147 days), all ewes were placed under general anesthesia and mechanical ventilation. Their fetuses were exteriorized and catheters were placed in their femoral artery for blood gas sampling. A balloon occluder and a blood flow probe were placed on one internal carotid while the contralateral side was completely ligated. On the third day post surgery, the balloon occluder was inflated three times for 30 minutes each time at 30 minute intervals in the experimental fetuses. PO2, PCO2, pH, lactate and glucose were monitored during the study. At 7 days post occlusion, all animals were sacrificed and tissues were collected. Craniofacial anomalies were obvious in three animals similar to those seen in hemifacial microsomia, Goldenhar syndrome and Pierre-Robin sequence. All three control animals had normal craniofacial structures. This preliminary data suggests that late gestation vascular disruptions may lead to significant craniofacial anomalies, as seen in our animal model.

MINOR MESH HEADINGS: Carotid-Arteries-embryology; Carotid-Arteries-surgery; Fetal-Diseases; Ischemia-; Ligation-; Pregnancy-; Sheep-embryology

MAJOR MeSH HEADINGS: *Craniofacial-Abnormalities-etiology; *Facial-Bones-blood-supply; *Facial-Bones-embryology; *Gestational-Age; *Skull-blood-supply; *Skull-embryology

CHECKTAGS: Animal; Female

PUBLICATION TYPE: JOURNAL-ARTICLE

MEDLINE ACCESSION NUMBER: 99001399

UPDATE CODE: 199902

Record 33 of 99 in MEDLINE EXPRESS (R) 1997-1999

TITLE: A family with dominant oculoauriculovertebral spectrum.

AUTHOR(S): Stoll-C; Viville-B; Treisser-A; Gasser-B

ADDRESS OF AUTHOR: Service de Genetique Medicale, Centre Hospitalo-Universitaire, Strasbourg, France.

SOURCE (BIBLIOGRAPHIC CITATION): Am-J-Med-Genet. 1998 Jul 24; 78(4): 345-9

INTERNATIONAL STANDARD SERIAL NUMBER: 0148-7299

PUBLICATION YEAR: 1998

LANGUAGE OF ARTICLE: ENGLISH

COUNTRY OF PUBLICATION: UNITED-STATES

ABSTRACT: In 1990, Gorlin et al. [Syndromes of the Head and Neck, New York: Oxford University Press, pp 641-649, 707-708] proposed to lump several syndromes together, including facioauriculovertebral syndrome, hemifacial microsomia, otomandibular dysostosis, Goldenhar syndrome, the first branchial arch anomalies and the first and second branchial arches anomalies. They proposed to use the term oculoauriculovertebral "spectrum." Because there is no agreement on minimal diagnostic criteria the phenotype overlaps many genetic and teratologic syndromes. Most cases are sporadic, but familial instances have also been observed in first-degree relatives. We report on a mother and two of her children who have the oculoauriculovertebral "spectrum." The mother had only auricular anomalies for which she had plastic and reconstructive surgery. Her first child, a girl, had a bilateral cleft lip and palate, a coloboma of upper eyelid, facial asymmetry, and posteriorly angulated ears. This child also had bilateral vesicoureteral reflux. During the second pregnancy fetal ultrasonographic examination performed at 18th week of gestation showed a cleft lip and palate. At the thirty-first week of gestation, club feet, hypoplasia of the left ear, hypoplasia of the left maxillary and mandibular arches, and left microphthalmia were evident. Examination of this fetus confirmed ultrasonographic findings and demonstrated vertebral anomalies. This familial observation confirmed variable expressivity of the oculoauriculovertebral anomaly with isolated microtia (the mother), major malformations (the fetus), and less serious anomalies (the first child) and showed that this condition may be inherited as an autosomal or X-linked dominant condition.

MINOR MESH HEADINGS: Abnormalities,-Multiple-diagnosis; Abnormalities,-Multiple-embryology; Cleft-Lip-embryology; Cleft-Lip-genetics; Cleft-Palate-embryology; Cleft-Palate-genetics; Diabetes,-Gestational-diet-therapy; Gestational-Age; Goldenhar-Syndrome-diagnosis; Infant,-Newborn; Nuclear-Family; Pedigree-; Pregnancy-; Spine-abnormalities; Spine-embryology; Syndrome-; X-Chromosome-genetics

MAJOR MeSH HEADINGS: *Abnormalities,-Multiple-genetics; *Genes,-Dominant; *Goldenhar-Syndrome-genetics

CHECKTAGS: Case-Report; Female; Human; Male

PUBLICATION TYPE: JOURNAL-ARTICLE

MEDLINE ACCESSION NUMBER: 98378239

UPDATE CODE: 199812

Record 34 of 99 in MEDLINE EXPRESS (R) 1997-1999

TITLE: Electrocardiographic artefact with SSEP monitoring unit during scoliosis surgery.

AUTHOR(S): Choudhry-DK; Stayer-SA; Rehman-MA; Schwartz-RE

ADDRESS OF AUTHOR: St. Christopher's Hospital for Children, Department of Anesthesia and Critical Care, Philadelphia, PA 19134-1095, USA.

SOURCE (BIBLIOGRAPHIC CITATION): Paediatr-Anaesth. 1998; 8(4): 341-3

INTERNATIONAL STANDARD SERIAL NUMBER: 1155-5645

PUBLICATION YEAR: 1998

LANGUAGE OF ARTICLE: ENGLISH

COUNTRY OF PUBLICATION: FRANCE

ABSTRACT: A case of somatosensory evoked potential (SSEP) induced electrocardiographic artefact simulating supraventricular tachycardia (SVT) is described in a three year old girl with Goldenhar syndrome, during anterior thoracoscopic discectomy with posterior spinal fusion for scoliosis. Adenosine was administered for this misinterpreted EKG with coincidental cessation of SVT like trace.

MINOR MESH HEADINGS: Child,-Preschool; Diskectomy-; Spinal-Fusion; Tachycardia,-Supraventricular-diagnosis

MAJOR MeSH HEADINGS: *Artifacts-; *Electrocardiography-; *Evoked-Potentials,-Somatosensory; *Monitoring,-Intraoperative; *Scoliosis-surgery

CHECKTAGS: Case-Report; Female; Human

PUBLICATION TYPE: JOURNAL-ARTICLE

MEDLINE ACCESSION NUMBER: 98336805

UPDATE CODE: 199812

Record 35 of 99 in MEDLINE EXPRESS (R) 1997-1999

TITLE: Evaluation of pharyngeal and laryngeal structure and function in patients with oculo-auriculo-vertebral spectrum.

AUTHOR(S): D'Antonio-LL; Rice-RD Jr; Fink-SC

ADDRESS OF AUTHOR: Department of Surgery, Loma Linda University School of Medicine, California, USA. dantonio@llu.edu

SOURCE (BIBLIOGRAPHIC CITATION): Cleft-Palate-Craniofac-J. 1998 Jul; 35(4): 333-41

INTERNATIONAL STANDARD SERIAL NUMBER: 1055-6656

PUBLICATION YEAR: 1998

LANGUAGE OF ARTICLE: ENGLISH

COUNTRY OF PUBLICATION: UNITED-STATES

ABSTRACT: OBJECTIVE: This study described the occurrence and expression of pharyngeal and laryngeal anomalies in a population of patients with oculo-auriculo-vertebral spectrum (OAVS). DESIGN: Cross-sectional study using chart review, physical examination, and endoscopic evaluation of the pharynx and larynx, and perceptual and aerodynamic evaluation of speech for assessment of vocal tract function. SETTING: Academic tertiary referral center. PATIENTS: Chart review of 41 patients with a diagnosis of OAVS and clinical evaluation of 23 of the patients identified in the initial chart review, ranging in age from 9 months to 17 years. MAIN OUTCOME MEASURES: Data from chart review pertaining to airway and speech symptoms. Physical examination and endoscopic studies of pharyngeal and laryngeal structure and function and perceptual and aerodynamic evaluation of speech, resonance, and voice. RESULTS: Chart review showed a high occurrence of indicators of pharyngeal and laryngeal abnormalities such as velopharyngeal inadequacy and airway obstruction. Clinical evaluations documented a variety of abnormalities in pharyngeal and laryngeal structure and function as well as impairment in speech articulation, resonance, and voice. Presence and severity of pharyngeal and laryngeal abnormalities were not correlated with the severity of expression of the spectrum based on mandibular morphology. CONCLUSIONS: Oculo-auriculo-vertebral spectrum appears to be associated with a high occurrence of structural and functional abnormalities of the pharynx and larynx that may contribute to increased risk of airway obstruction, communication impairment, and morbidity.

MINOR MESH HEADINGS: Adolescence-; Airway-Obstruction-etiology; Child-; Child,-Preschool; Cross-Sectional-Studies; Endoscopy-; Evaluation-Studies; Infant-; Laryngoscopy-; Larynx-pathology; Larynx-physiopathology; Mandible-abnormalities; Mandible-pathology; Pharynx-pathology; Pharynx-physiopathology; Physical-Examination; Retrospective-Studies; Speech-physiology; Speech-Disorders-etiology; Velopharyngeal-Insufficiency-etiology; Vocal-Cords-physiopathology; Voice-physiology; Voice-Quality-physiology

MAJOR MeSH HEADINGS: *Goldenhar-Syndrome-pathology; *Larynx-abnormalities; *Pharynx-abnormalities

CHECKTAGS: Female; Human; Male

PUBLICATION TYPE: JOURNAL-ARTICLE

MEDLINE ACCESSION NUMBER: 98347914

UPDATE CODE: 199812

SUBSET: DENTAL

Record 36 of 99 in MEDLINE EXPRESS (R) 1997-1999

TITLE: Severe oculocerebrocutaneous (Delleman) syndrome: overlap with Goldenhar anomaly.

AUTHOR(S): McCandless-SE; Robin-NH

ADDRESS OF AUTHOR: Center for Human Genetics, Department of Genetics, Case Western Reserve University School of Medicine, University Hospitals of Cleveland, Ohio, USA.

SOURCE (BIBLIOGRAPHIC CITATION): Am-J-Med-Genet. 1998 Jul 7; 78(3): 282-5

INTERNATIONAL STANDARD SERIAL NUMBER: 0148-7299

PUBLICATION YEAR: 1998

LANGUAGE OF ARTICLE: ENGLISH

COUNTRY OF PUBLICATION: UNITED-STATES

ABSTRACT: Oculocerebrocutaneous syndrome (OCCS), or Delleman syndrome, is a multiple congenital anomaly syndrome characterized by orbital cysts, cerebral malformations, and focal dermal hypoplasia [Delleman and Oorthuys, 1981, Clin Genet 19:191-198; Delleman et al., 1984, Clin Genet 25:470-472]. Two previous reports presented children having what is suggested as the more severe form of the OCCS syndrome who also had anophthalmia, congenital hydrocephalus, and cleft lip and palate [Leichtman et al., 1994, Am J Med Genet 50:39-41; Angle and Hersh, 1997, Am J Med Genet 68:39-42]. We report on a third case of severe OCCS, an infant girl with a similar constellation of findings and additional anomalies including lateral facial cleft, vertebral anomaly, and ventricular septal defect. The additional findings in our patient highlight the phenotypic overlap of OCCS and the Goldenhar anomaly, an overlap previously noted by Delleman and Oorthuys [1981], and others [Al-Gazali et al., 1988, J Med Genet 25: 773-778]. We suggest that the minimal diagnostic criteria for Delleman syndrome include central nervous system cyst or hydrocephalus, orbital cysts or microphthalmia, and focal skin defects.

MINOR MESH HEADINGS: Abnormalities,-Multiple-diagnosis; Abnormalities,-Multiple-etiology; Alcohol-Drinking; Cleft-Lip; Cleft-Palate; Cocaine-; Diagnosis,-Differential; Fatal-Outcome; Goldenhar-Syndrome-diagnosis; Heart-Defects,-Congenital; Infant-; Phenotype-; Pregnancy-; Pregnancy-Complications; Skin-Abnormalities-diagnosis; Skull-abnormalities

MAJOR MeSH HEADINGS: *Abnormalities,-Multiple; *Brain-abnormalities; *Eye-Abnormalities; *Goldenhar-Syndrome; *Skin-Abnormalities

CHECKTAGS: Case-Report; Female; Human

PUBLICATION TYPE: JOURNAL-ARTICLE

CAS REGISTRY NUMBER OR EC NUMBER: 50-36-2

NAME OF SUBSTANCE: Cocaine

MEDLINE ACCESSION NUMBER: 98339721

UPDATE CODE: 199811

Record 37 of 99 in MEDLINE EXPRESS (R) 1997-1999

TITLE: Congenital ameloblastic fibroma in association with oculoauriculovertebral spectrum.

AUTHOR(S): Naidoo-LC; Stephen-LX

ADDRESS OF AUTHOR: Department of Health, MEDUNSA, Pretoria, South Africa. cnaidoo@hltrsa.pwv.gov.za

SOURCE (BIBLIOGRAPHIC CITATION): Int-J-Pediatr-Otorhinolaryngol. 1998 May 15; 43(3): 283-8

INTERNATIONAL STANDARD SERIAL NUMBER: 0165-5876

PUBLICATION YEAR: 1998

LANGUAGE OF ARTICLE: ENGLISH

COUNTRY OF PUBLICATION: IRELAND

ABSTRACT: Although orodental anomalies have been reported to occur in patients with oculoauriculovertebral spectrum, no previous publications in the English literature have been located that describe an ameloblastic fibroma in a patient with this condition. This report presents a 15-month-old female monozygotic twin with concomitant oculoauriculovertebral spectrum and a congenital ameloblastic fibroma of the mandible. A theory linking the pathogenesis of the two conditions is also raised.

MINOR MESH HEADINGS: Diseases-in-Twins; Goldenhar-Syndrome-genetics; Infant-; Mandibular-Neoplasms-complications; Mandibular-Neoplasms-genetics; Odontogenic-Tumors-complications; Odontogenic-Tumors-genetics

MAJOR MeSH HEADINGS: *Goldenhar-Syndrome-complications; *Mandibular-Neoplasms-congenital; *Odontogenic-Tumors-congenital

CHECKTAGS: Case-Report; Female; Human

PUBLICATION TYPE: JOURNAL-ARTICLE

MEDLINE ACCESSION NUMBER: 98327084

UPDATE CODE: 199811

Record 38 of 99 in MEDLINE EXPRESS (R) 1997-1999

TITLE: Four-year-old girl with Goldenhar-sequence and severe obstructive sleep apnea, symptoms, diagnosis and therapy.

AUTHOR(S): Hoch-B; Hochban-W

ADDRESS OF AUTHOR: Zentrum fur Kinderheilkunde, Klinikum der Philipps-Universitat Marburg, Germany.

SOURCE (BIBLIOGRAPHIC CITATION): Int-J-Pediatr-Otorhinolaryngol. 1998 May 15; 43(3): 277-81

INTERNATIONAL STANDARD SERIAL NUMBER: 0165-5876

PUBLICATION YEAR: 1998

LANGUAGE OF ARTICLE: ENGLISH

COUNTRY OF PUBLICATION: IRELAND

ABSTRACT: Recently sleep related breathing disorders in children have received considerable attention. Unfortunately, cardiorespiratory polygraphy is expensive and time-consuming, and up until now today only a few pediatric hospitals have complete facilities for all-night cardiorespiratory polygraphy. Nevertheless, the prevalence of sleep related breathing disorders in children is higher than has previously been thought. To show the importance of proper diagnosis of sleep related breathing disorders, we report a case of a 4-year-old girl with severe obstructive sleep apnea caused by Goldenhar-sequence (facio-auriculo-vertebral dysplasia). Despite some treatment efforts to correct the aplastic right mandible, the symptoms of obstructive sleep apnea were not immediately recognized and remained untreated. Untreated obstructive sleep apnea led to growth and mental retardation. After polygraphic confirmation of obstructive sleep apnea and appropriate interdisciplinary treatment, the 4-year-old girl made rapid advances in growth and mental development.

MINOR MESH HEADINGS: Child,-Preschool; Sleep-Apnea-Syndromes-diagnosis; Sleep-Apnea-Syndromes-therapy

MAJOR MeSH HEADINGS: *Goldenhar-Syndrome-complications; *Sleep-Apnea-Syndromes-etiology

CHECKTAGS: Case-Report; Female; Human

PUBLICATION TYPE: JOURNAL-ARTICLE

MEDLINE ACCESSION NUMBER: 98327083

UPDATE CODE: 199811

Record 39 of 99 in MEDLINE EXPRESS (R) 1997-1999

TITLE: Oculo-auriculo-vertebral spectrum disorder (Goldenhar "syndrome") coexisting with schizophreniform disorder [letter]

AUTHOR(S): Brieger-P; Bartel-Friedrich-S; Haring-A; Marneros-A

SOURCE (BIBLIOGRAPHIC CITATION): J-Neurol-Neurosurg-Psychiatry. 1998 Jul; 65(1): 135-6

INTERNATIONAL STANDARD SERIAL NUMBER: 0022-3050

PUBLICATION YEAR: 1998

LANGUAGE OF ARTICLE: ENGLISH

COUNTRY OF PUBLICATION: ENGLAND

MINOR MESH HEADINGS: Adult-; Delirium,-Dementia,-Amnestic,-Cognitive-Disorders-diagnosis; Goldenhar-Syndrome-diagnosis; Intelligence-; Neurologic-Examination; Neuropsychological-Tests; Psychotic-Disorders-diagnosis

MAJOR MeSH HEADINGS: *Delirium,-Dementia,-Amnestic,-Cognitive-Disorders-complications; *Goldenhar-Syndrome-complications; *Psychotic-Disorders-complications

CHECKTAGS: Case-Report; Human; Male

PUBLICATION TYPE: LETTER

MEDLINE ACCESSION NUMBER: 98330154

UPDATE CODE: 199809

Record 40 of 99 in MEDLINE EXPRESS (R) 1997-1999

TITLE: Non-surgical treatment of upper airway obstruction in oculoauriculovertebral dysplasia: a case report.

AUTHOR(S): Stellzig-A; Basdra-EK; Sontheimer-D; Komposch-G

ADDRESS OF AUTHOR: Department of Orthodontics, Heidelberg University, Germany.

SOURCE (BIBLIOGRAPHIC CITATION): Eur-J-Orthod. 1998 Apr; 20(2): 111-4

INTERNATIONAL STANDARD SERIAL NUMBER: 0141-5387

PUBLICATION YEAR: 1998

LANGUAGE OF ARTICLE: ENGLISH

COUNTRY OF PUBLICATION: ENGLAND

ABSTRACT: A non-surgical technique for the treatment of upper airway obstruction in oculoauriculovertebral dysplasia using an intra-oral orthopaedic appliance is described, which resulted in respiratory and feeding problems being solved without side-effects. This non-invasive management might also be of major benefit in the treatment of airway obstruction associated with Pierre Robin sequence, mandibular micrognathia in other craniofacial anomalies, or obstructive sleep apnoea.

MINOR MESH HEADINGS: Airway-Obstruction-etiology; Dental-Care-for-Chronically-Ill; Goldenhar-Syndrome-complications; Infant-

MAJOR MeSH HEADINGS: *Airway-Obstruction-therapy; *Goldenhar-Syndrome; *Occlusal-Splints

CHECKTAGS: Case-Report; Female; Human

PUBLICATION TYPE: JOURNAL-ARTICLE

MEDLINE ACCESSION NUMBER: 98296820

UPDATE CODE: 199809

SUBSET: DENTAL

Record 41 of 99 in MEDLINE EXPRESS (R) 1997-1999

TITLE: Oculo-auriculo-vertebral spectrum.

AUTHOR(S): Schaefer-GB; Olney-AH; Kolodziej-P

ADDRESS OF AUTHOR: Munroe-Meyer Institute for Genetics and Rehabilitation, University of Nebraska Medical Center, Omaha, USA.

SOURCE (BIBLIOGRAPHIC CITATION): Ear-Nose-Throat-J. 1998 Jan; 77(1): 17-8

INTERNATIONAL STANDARD SERIAL NUMBER: 0145-5613

PUBLICATION YEAR: 1998

LANGUAGE OF ARTICLE: ENGLISH

COUNTRY OF PUBLICATION: UNITED-STATES

MINOR MESH HEADINGS: Craniofacial-Abnormalities-genetics; Craniofacial-Abnormalities-therapy; Diagnosis,-Differential; Goldenhar-Syndrome-genetics; Goldenhar-Syndrome-therapy

MAJOR MeSH HEADINGS: *Craniofacial-Abnormalities-diagnosis; *Goldenhar-Syndrome-diagnosis

CHECKTAGS: Female; Human; Male

PUBLICATION TYPE: JOURNAL-ARTICLE

MEDLINE ACCESSION NUMBER: 98134097

UPDATE CODE: 199805

Record 42 of 99 in MEDLINE EXPRESS (R) 1997-1999

TITLE: Anomalous inferior and superior venae cavae with oculoauriculovertebral defect: review of Goldenhar complex and malformations of left-right asymmetry.

AUTHOR(S): Lin-HJ; Owens-TR; Sinow-RM; Fu-PC Jr; DeVito-A; Beall-MH; Lachman-RS

ADDRESS OF AUTHOR: Department of Pediatrics, Harbor-UCLA Medical Center, Torrance, California 90502, USA.

SOURCE (BIBLIOGRAPHIC CITATION): Am-J-Med-Genet. 1998 Jan 6; 75(1): 88-94

INTERNATIONAL STANDARD SERIAL NUMBER: 0148-7299

PUBLICATION YEAR: 1998

LANGUAGE OF ARTICLE: ENGLISH

COUNTRY OF PUBLICATION: UNITED-STATES

ABSTRACT: We observed a girl with an interrupted, left inferior vena cava with hemiazygous continuation, bilateral superior venae cavae, heart defects, and sacral agenesis. She had macrostomia and bilateral ear tags and pits, as in oculoauriculovertebral defect. Maternal diabetes was present. The combination, which we call OAV-heterotaxia complex, supports the view that some cases of oculoauriculovertebral defect may be part of a midline field defect of blastogenesis.

MINOR MESH HEADINGS: Goldenhar-Syndrome-genetics; Goldenhar-Syndrome-radiography; Heart-Defects,-Congenital-genetics; Heart-Defects,-Congenital-pathology; Heart-Defects,-Congenital-radiography; Infant,-Newborn; Pregnancy-; Vena-Cava,-Inferior-radiography; Vena-Cava,-Superior-radiography

MAJOR MeSH HEADINGS: *Goldenhar-Syndrome-pathology; *Vena-Cava,-Inferior-abnormalities; *Vena-Cava,-Superior-abnormalities

CHECKTAGS: Case-Report; Female; Human

PUBLICATION TYPE: JOURNAL-ARTICLE; REVIEW; REVIEW-OF-REPORTED-CASES

MEDLINE ACCESSION NUMBER: 98111340

UPDATE CODE: 199805

Record 43 of 99 in MEDLINE EXPRESS (R) 1997-1999

TITLE: Immunohistochemical demonstration of cytokeratin in human embryonic neurons arising from placodes.

AUTHOR(S): Okabe-H; Okubo-T; Adachi-H; Ishikawa-T; Ochi-Y

ADDRESS OF AUTHOR: Department of Laboratory Medicine, Shiga University of Medical Science, Otsu, Japan.

SOURCE (BIBLIOGRAPHIC CITATION): Brain-Dev. 1997 Jul; 19(5): 347-52

INTERNATIONAL STANDARD SERIAL NUMBER: 0387-7604

PUBLICATION YEAR: 1997

LANGUAGE OF ARTICLE: ENGLISH

COUNTRY OF PUBLICATION: NETHERLANDS

ABSTRACT: Sensory neurons of the olfactory, trigeminal, facial, vestibulo-cochlear, glossopharyngeal and vagal nerves, and neurons migrating along the olfactory nerve to the brain have special anlagen, made up of placodes located in the epithelial layer. To investigate the characteristic phenotype of placode-derived neurons, immunohistochemical analysis of intermediate filaments was conducted on formalin-fixed human embryonic tissues. Neurons arising from placodes including luteinizing-hormone releasing hormone (LHRH) neurons migrating from the olfactory placode to the brain had immunoreactivity to antibodies specific to cytokeratin, AE1 and CAM5.2 during the embryonic stage. However, this immunoreactivity disappeared during the late embryonic to the post-embryonic stage and was not observed in the roots of these nerves in the post-natal stage. Immunoreactivity was detected in both the somata and processes, and the distribution differed from that described in rodent brain neurons. With this exception, no other human peripheral neurons, including spinal dorsal root ganglia, had immunoreactivity with anti-cytokeratin antibodies throughout the entire developmental stage. Although the cephalic neural crest also directly generates neurons to most of the cranial sensory ganglia, we could not find any evidence that it contributed to the genesis of cytokeratin-positive embryonic neurons. We concluded that cytokeratin is an intermediate filament common to human embryonic neurons of cephalic placodal origin and that this immunohistochemical marker may be useful in analyzing the developmental sequence of several congenital diseases involving the cranial nerves, such as Moebius syndrome and Goldenhar syndrome.

MINOR MESH HEADINGS: Adult-; Antibody-Specificity; Cell-Differentiation-physiology; Cranial-Nerves-chemistry; Cranial-Nerves-cytology; Cranial-Nerves-embryology; Facial-Nerve-chemistry; Facial-Nerve-cytology; Facial-Nerve-embryology; Immunohistochemistry-; Infant,-Newborn; Mesoderm-chemistry; Mesoderm-cytology; Neural-Crest-chemistry; Neural-Crest-embryology; Nodose-Ganglion-chemistry; Nodose-Ganglion-cytology; Nodose-Ganglion-embryology; Olfactory-Nerve-chemistry; Olfactory-Nerve-cytology; Olfactory-Nerve-embryology; Spinal-Cord-chemistry; Spinal-Cord-cytology; Spinal-Cord-embryology; Trigeminal-Nerve-chemistry; Trigeminal-Nerve-cytology; Trigeminal-Nerve-embryology; Vestibulocochlear-Nerve-chemistry; Vestibulocochlear-Nerve-cytology; Vestibulocochlear-Nerve-embryology

MAJOR MeSH HEADINGS: *Keratin-analysis; *Keratin-immunology; *Neural-Crest-cytology; *Neurons,-Afferent-chemistry

CHECKTAGS: Human

PUBLICATION TYPE: JOURNAL-ARTICLE

CAS REGISTRY NUMBER OR EC NUMBER: 68238-35-7

NAME OF SUBSTANCE: Keratin

MEDLINE ACCESSION NUMBER: 97397449

UPDATE CODE: 199712

Record 44 of 99 in MEDLINE EXPRESS (R) 1997-1999

TITLE: Goldenhar syndrome.

AUTHOR(S): Lal-P; Agrawal-P; Krishna-A

ADDRESS OF AUTHOR: Department of Surgery, University College of Medical Sciences, New Delhi.

SOURCE (BIBLIOGRAPHIC CITATION): Indian-Pediatr. 1997 Sep; 34(9): 837-8

INTERNATIONAL STANDARD SERIAL NUMBER: 0019-6061

PUBLICATION YEAR: 1997

LANGUAGE OF ARTICLE: ENGLISH

COUNTRY OF PUBLICATION: INDIA

MINOR MESH HEADINGS: Child,-Preschool; Goldenhar-Syndrome-surgery; India-; Infant,-Newborn

MAJOR MeSH HEADINGS: *Goldenhar-Syndrome-diagnosis

CHECKTAGS: Case-Report; Human; Male

PUBLICATION TYPE: JOURNAL-ARTICLE

MEDLINE ACCESSION NUMBER: 98153303

UPDATE CODE: 199805

Record 45 of 99 in MEDLINE EXPRESS (R) 1997-1999

TITLE: Goldenhar syndrome among infants born in military hospitals to Gulf War veterans.

AUTHOR(S): Araneta-MR; Moore-CA; Olney-RS; Edmonds-LD; Karcher-JA; McDonough-C; Hiliopoulos-KM; Schlangen-KM; Gray-GC

ADDRESS OF AUTHOR: Naval Health Research Center, Division of Clinical Epidemiology, San Diego, California 92186-5122, USA. araneta@nhrc.navy.mil

SOURCE (BIBLIOGRAPHIC CITATION): Teratology. 1997 Oct; 56(4): 244-51

INTERNATIONAL STANDARD SERIAL NUMBER: 0040-3709

PUBLICATION YEAR: 1997

LANGUAGE OF ARTICLE: ENGLISH

COUNTRY OF PUBLICATION: UNITED-STATES

ABSTRACT: Reports in the popular press described the occurrence of Goldenhar syndrome among children of Persian Gulf War veterans (GWVs). The objective of this investigation was to compare the birth prevalence of Goldenhar syndrome among infants born in military hospitals to GWVs and to military personnel who were not deployed to the Gulf War (NDVs). Computerized hospital discharge data were reviewed for infants conceived after the war and born prior to the 1st of October, 1993, in medical treatment facilities (MTFs) operated by the U.S. Department of Defense. Medical records were evaluated for infants diagnosed at birth with at least one abnormality that might be related to Goldenhar syndrome. Two pediatricians, blinded to the parental Gulf War status of each infant, reviewed records. An estimated 75,414 infants were conceived after the Gulf War and born in MTFs during the study period (34,069 GWV infants and 41,345 NDV infants). Seven infants fulfilled the case criteria (five GWV infants and two NDV infants). All infants had fathers who served in the military at the time of their conception and birth. The birth prevalence was 14.7 per 100,000 live births among GWV infants (95% confidence interval [CI]: 5.4-36.4) and 4.8 per 100,000 live births (95% CI: 0.8-19.5) among NDV infants (relative risk: 3.03; 95% CI: 0.63-20.57; P values: [2-tailed] = 0.26, [1-tailed] = 0.16). The few affected cases and the broad confidence intervals surrounding the relative risk require that these results be interpreted with caution and do not exclude chance as an explanation for these findings.

MINOR MESH HEADINGS: Adolescence-; Adult-; Environmental-Exposure; Goldenhar-Syndrome-etiology; Goldenhar-Syndrome-pathology; Infant,-Newborn; Middle-East; Pregnancy-; Prevalence-; United-States-epidemiology; Veterans-; War-

MAJOR MeSH HEADINGS: *Goldenhar-Syndrome-epidemiology; *Hospitals,-Military; *Military-Personnel

CHECKTAGS: Comparative-Study; Female; Human; Male; Support,-U.S.-Gov't,-Non-P.H.S.

PUBLICATION TYPE: JOURNAL-ARTICLE

MEDLINE ACCESSION NUMBER: 98073324

UPDATE CODE: 199803

Record 46 of 99 in MEDLINE EXPRESS (R) 1997-1999

TITLE: Dysphagia in children with oculo-auriculo-vertebral spectrum.

AUTHOR(S): Yokochi-K; Terasawa-S; Kono-C; Fujishima-I

ADDRESS OF AUTHOR: Department of Rehabilitation, Ohzora Hospital, Shizuoka, Japan.

SOURCE (BIBLIOGRAPHIC CITATION): Dysphagia. 1997 Fall; 12(4): 222-5

INTERNATIONAL STANDARD SERIAL NUMBER: 0179-051X

PUBLICATION YEAR: 1997

LANGUAGE OF ARTICLE: ENGLISH

COUNTRY OF PUBLICATION: UNITED-STATES

ABSTRACT: Feeding difficulty necessitating tube feeding after the infantile period was seen in 3 children with oculo-auriculo-vertebral spectrum. Videofluorographic imaging showed impaired pharyngeal function, which was thought to result from dysplasia of the pharyngeal muscles. Note should be made of feeding difficulty in patients with oculo-auriculo-vertebral spectrum.

MINOR MESH HEADINGS: Child,-Preschool; Fluoroscopy-methods

MAJOR MeSH HEADINGS: *Deglutition-Disorders-complications; *Deglutition-Disorders-diagnosis; *Goldenhar-Syndrome-complications

CHECKTAGS: Case-Report; Human; Male

PUBLICATION TYPE: JOURNAL-ARTICLE

MEDLINE ACCESSION NUMBER: 97440740

UPDATE CODE: 199802

SUBSET: DENTAL

Record 47 of 99 in MEDLINE EXPRESS (R) 1997-1999

TITLE: Left retrocaval ureter associated with the Goldenhar syndrome (branchial arch syndrome).

AUTHOR(S): Ishitoya-S; Arai-Y; Waki-K; Okubo-K; Suzuki-Y

ADDRESS OF AUTHOR: Department of Urology and Pediatrics, Kurashiki Central Hospital, Japan.

SOURCE (BIBLIOGRAPHIC CITATION): J-Urol. 1997 Aug; 158(2): 572-3

INTERNATIONAL STANDARD SERIAL NUMBER: 0022-5347

PUBLICATION YEAR: 1997

LANGUAGE OF ARTICLE: ENGLISH

COUNTRY OF PUBLICATION: UNITED-STATES

MINOR MESH HEADINGS: Infant-; Vena-Cava,-Inferior

MAJOR MeSH HEADINGS: *Goldenhar-Syndrome-complications; *Ureter-abnormalities

CHECKTAGS: Case-Report; Female; Human

PUBLICATION TYPE: JOURNAL-ARTICLE; REVIEW; REVIEW-OF-REPORTED-CASES

MEDLINE ACCESSION NUMBER: 97367661

UPDATE CODE: 199710

SUBSET: AIM

Record 48 of 99 in MEDLINE EXPRESS (R) 1997-1999

TITLE: Oculo-auriculo-vertebral spectrum: cranial and vertebral malformations due to focal disturbed chondrogenesis.

AUTHOR(S): Goret-Nicaise-M; Baertz-G; Saussoy-P; Dhem-A

ADDRESS OF AUTHOR: Human Anatomy Research Unit, Faculty of Medicine, University of Louvain (UCL), Brussels, Belgium.

SOURCE (BIBLIOGRAPHIC CITATION): J-Craniofac-Genet-Dev-Biol. 1997 Jan-Mar; 17(1): 35-42

INTERNATIONAL STANDARD SERIAL NUMBER: 0270-4145

PUBLICATION YEAR: 1997

LANGUAGE OF ARTICLE: ENGLISH

COUNTRY OF PUBLICATION: DENMARK

ABSTRACT: Microradiographic and histological analyses point out a focal disturbed chondrogenesis of both the skull base and the axial skeleton in a case of oculo-auriculo-vertebral spectrum. Cartilage showed disturbed endochondral ossification with defects in calcification, deficient resorption, and abnormal crumpled areas of mineralized cartilage.

MINOR MESH HEADINGS: Goldenhar-Syndrome-complications; Goldenhar-Syndrome-genetics; Heart-Defects,-Congenital-complications; Heart-Defects,-Congenital-pathology; Infant,-Newborn; Inversion-Genetics; Lumbar-Vertebrae-abnormalities; Osteochondrodysplasias-genetics; Skull-Base-abnormalities

MAJOR MeSH HEADINGS: *Chromosome-Abnormalities-pathology; *Chromosomes,-Human,-Pair-12; *Goldenhar-Syndrome-pathology; *Osteochondrodysplasias-pathology

CHECKTAGS: Case-Report; Human; Male

PUBLICATION TYPE: JOURNAL-ARTICLE

MEDLINE ACCESSION NUMBER: 97354925

UPDATE CODE: 199710

Record 49 of 99 in MEDLINE EXPRESS (R) 1997-1999

TITLE: Goldenhar complex: a further case with uncommon associated anomalies.

AUTHOR(S): Zelante-L; Gasparini-P; Scanderbeg-AC; Dimitri-L; Criconia-M; Gorlin-RJ

ADDRESS OF AUTHOR: Medical Genetics Service, IRCCS-CSS Hospital, San Giovanni Rotondo, Italy.

SOURCE (BIBLIOGRAPHIC CITATION): Am-J-Med-Genet. 1997 Apr 14; 69(4): 418-21

INTERNATIONAL STANDARD SERIAL NUMBER: 0148-7299

PUBLICATION YEAR: 1997

LANGUAGE OF ARTICLE: ENGLISH

COUNTRY OF PUBLICATION: UNITED-STATES

ABSTRACT: We report on a further case of Goldenhar complex with uncommon and clinically remarkable associated anomalies. This additional case increases the number of observations and descriptions of patients with "expanded Goldenhar complex." Pathogenetic aspects are discussed.

MINOR MESH HEADINGS: Abnormalities,-Multiple-genetics; Abnormalities,-Multiple-pathology; Abnormalities,-Multiple-radiography; Abnormalities,-Multiple-ultrasonography; Fatal-Outcome; Goldenhar-Syndrome-genetics; Goldenhar-Syndrome-pathology; Goldenhar-Syndrome-radiography; Goldenhar-Syndrome-ultrasonography; Hand-Deformities,-Congenital; Infant-; Spine-abnormalities

MAJOR MeSH HEADINGS: *Abnormalities,-Multiple; *Goldenhar-Syndrome

CHECKTAGS: Case-Report; Female; Human; Support,-Non-U.S.-Gov't

PUBLICATION TYPE: JOURNAL-ARTICLE

MEDLINE ACCESSION NUMBER: 97253036

UPDATE CODE: 199709

Record 50 of 99 in MEDLINE EXPRESS (R) 1997-1999

TITLE: Visual consequences of ocular and adnexal findings in patients with Goldenhar's syndrome.

AUTHOR(S): Hertle-RW; Nesbum-K; Katowitz-JA

ADDRESS OF AUTHOR: Division of Ophthalmology, Children's Hospital of Philadelphia, University of Pennsylvania, USA.

SOURCE (BIBLIOGRAPHIC CITATION): J-Ophthalmic-Nurs-Technol. 1997 Jan-Feb; 16(1): 12-7

INTERNATIONAL STANDARD SERIAL NUMBER: 0744-7132

PUBLICATION YEAR: 1997

LANGUAGE OF ARTICLE: ENGLISH

COUNTRY OF PUBLICATION: UNITED-STATES

MINOR MESH HEADINGS: Adolescence-; Child-; Child,-Preschool; Infant-; Prognosis-; Refraction,-Ocular; Retrospective-Studies; Vision-Disorders-classification; Vision-Disorders-diagnosis

MAJOR MeSH HEADINGS: *Goldenhar-Syndrome-complications; *Vision-Disorders-congenital

CHECKTAGS: Female; Human; Male

PUBLICATION TYPE: JOURNAL-ARTICLE

MEDLINE ACCESSION NUMBER: 97348890

UPDATE CODE: 199709

SUBSET: NURSING

Record 51 of 99 in MEDLINE EXPRESS (R) 1997-1999

TITLE: Absence of the common crus in Goldenhar syndrome.

AUTHOR(S): Manfre-L; Genuardi-P; Tortorici-M; Lagalla-R

ADDRESS OF AUTHOR: Department of Radiology, P. Cignolini, University of Palermo, Italy.

SOURCE (BIBLIOGRAPHIC CITATION): AJNR-Am-J-Neuroradiol. 1997 Apr; 18(4): 773-5

INTERNATIONAL STANDARD SERIAL NUMBER: 0195-6108

PUBLICATION YEAR: 1997

LANGUAGE OF ARTICLE: ENGLISH

COUNTRY OF PUBLICATION: UNITED-STATES

ABSTRACT: We describe an unusual labyrinthine malformation in a case of Goldenhar syndrome studied with CT and steady-state MR imaging. A single posterosuperior semicircular canal was found with no common crus formation. The malformation could not be attributed to any embryologic development. Nosologic considerations are discussed.

MINOR MESH HEADINGS: Abnormalities,-Multiple; Child-; Ear-Canal-abnormalities; Ear-Ossicles-abnormalities; Goldenhar-Syndrome-radiography; Hearing-Loss,-Bilateral-diagnosis; Hearing-Loss,-Bilateral-radiography; Hearing-Loss,-Conductive-diagnosis; Hearing-Loss,-Conductive-radiography; Labyrinth-abnormalities; Magnetic-Resonance-Imaging; Tomography,-X-Ray-Computed; Vestibule-abnormalities

MAJOR MeSH HEADINGS: *Goldenhar-Syndrome-diagnosis; *Semicircular-Canals-abnormalities

CHECKTAGS: Case-Report; Human; Male

PUBLICATION TYPE: JOURNAL-ARTICLE

MEDLINE ACCESSION NUMBER: 97272338

UPDATE CODE: 199708

Record 52 of 99 in MEDLINE EXPRESS (R) 1997-1999

TITLE: A CT scan technique for quantitative volumetric assessment of the mandible after distraction osteogenesis.

AUTHOR(S): Roth-DA; Gosain-AK; McCarthy-JG; Stracher-MA; Lefton-DR; Grayson-BH

ADDRESS OF AUTHOR: Institute of Reconstructive Plastic Surgery, New York University School of Medicine, New York, USA.

SOURCE (BIBLIOGRAPHIC CITATION): Plast-Reconstr-Surg. 1997 Apr; 99(5): 1237-47; discussion 1248-50

INTERNATIONAL STANDARD SERIAL NUMBER: 0032-1052

PUBLICATION YEAR: 1997

LANGUAGE OF ARTICLE: ENGLISH

COUNTRY OF PUBLICATION: UNITED-STATES

ABSTRACT: Distraction osteogenesis has become an accepted method of treatment for patients requiring reconstruction of hypoplastic mandibles. We present a quantitative analysis of volumetric changes after distraction osteogenesis in a series of 10 patients. Group I (n = 5 patients, 3 unilateral craniofacial microsomia, 1 Goldenhaar syndrome, and 1 bilateral craniofacial microsomia) underwent unilateral distraction of the mandible. Group II (n = 5 patients, 1 Nager syndrome, 1 bilateral craniofacial microsomia, 1 developmental micrognathia, and 2 Treacher Collins syndrome) underwent bilateral distraction of the mandible. Predistraction and postdistraction axial and three-dimensional computed tomographic (CT) scans were digitized and transferred to a computer for analysis with image-processing software to determine the changes in volume of the mandible and bony regenerate. The CT-derived volume method was validated by scanning three dry cadaver mandible specimens and comparing the volume data with those derived from a water-displacement method. The difference between the two methods was less than 5 percent. The mean distracted length, as recorded from the calibrated device, was 22.6 mm in the 10 patients. In the unilateral distraction group, the mean increase in hemimandibular bone volume was 2.8 cc, with a mean percentage increase of 27 percent in the distracted hemimandible. In the bilaterally distracted patients, the mean increase in total mandibular volume was 7.9 cc, with a mean percentage increase in bone volume of 25 percent. This study represents the first attempt to quantify the increase in bone volume resulting from distraction osteogenesis. Quantitative volumetric analysis of CT scans is an accurate method to measure the amount of bone regenerate in patients undergoing distraction osteogenesis of the mandible or the extremities. The concept and utility of quantifying the volumetric changes in bone following distraction osteogenesis may become more important as multiplanar devices are developed and used in other areas of the craniofacial skeleton.

MINOR MESH HEADINGS: Adolescence-; Adult-; Bone-Regeneration; Cadaver-; Child-; Child,-Preschool; Facial-Asymmetry-surgery; Goldenhar-Syndrome-surgery; Image-Processing,-Computer-Assisted; Mandible-abnormalities; Mandible-pathology; Mandible-surgery; Mandibulofacial-Dysostosis-surgery; Micrognathism-surgery; Radiographic-Image-Enhancement; Reproducibility-of-Results; Syndrome-; Water-

MAJOR MeSH HEADINGS: *Bone-Lengthening-methods; *Mandible-radiography; *Osteogenesis-; *Tomography,-X-Ray-Computed

CHECKTAGS: Comparative-Study; Female; Human; Male

PUBLICATION TYPE: JOURNAL-ARTICLE

CAS REGISTRY NUMBER OR EC NUMBER: 7732-18-5

NAME OF SUBSTANCE: Water

MEDLINE ACCESSION NUMBER: 97259230

UPDATE CODE: 199707

SUBSET: AIM

Record 53 of 99 in MEDLINE EXPRESS (R) 1997-1999

TITLE: Airway management in children with craniofacial anomalies.

AUTHOR(S): Perkins-JA; Sie-KC; Milczuk-H; Richardson-MA

ADDRESS OF AUTHOR: Medical Corps, Otolaryngology-Head and Neck Surgery Service, Madigan Army Medical Center, Tacoma, Washington, USA.

SOURCE (BIBLIOGRAPHIC CITATION): Cleft-Palate-Craniofac-J. 1997 Mar; 34(2): 135-40

INTERNATIONAL STANDARD SERIAL NUMBER: 1055-6656

PUBLICATION YEAR: 1997

LANGUAGE OF ARTICLE: ENGLISH

COUNTRY OF PUBLICATION: UNITED-STATES

ABSTRACT: Craniofacial anomalies (CFA) predispose children to airway obstruction. A retrospective study was conducted to describe airway intervention required to manage patients with craniofacial syndromes and diseases involving the midface and mandible (i.e., Pierre Robin, Apert, Treacher Collins, Saethre-Chotzen, CHARGE, Nager, Stickler, Goldenhar, and Pfeiffer). The type of airway intervention, duration of intervention, and associated physical and medical conditions were evaluated. One hundred nine patients had charts available for review and met inclusion criteria. Sixty-five of these patients required airway management, most commonly in the first month of life, ranging from positioning to tracheotomy. Nineteen patients required a tracheotomy. Associated medical conditions and feeding difficulties were associated with airway obstruction. This study evaluates factors that predispose children with CFA to have airway problems that need treatment, as well as the types of airway management that are necessary.

MINOR MESH HEADINGS: Acrocephalosyndactylia-complications; Airway-Obstruction-etiology; Airway-Obstruction-prevention-and-control; Child-; Child,-Preschool; Choanal-Atresia-surgery; Eating-Disorders-etiology; Goldenhar-Syndrome-complications; Infant-; Infant,-Newborn; Intubation,-Intratracheal; Mandible-abnormalities; Mandibulofacial-Dysostosis-complications; Maxilla-abnormalities; Pierre-Robin-Syndrome-complications; Posture-; Retrospective-Studies; Risk-Factors; Sleep-Apnea-Syndromes-etiology; Time-Factors; Tracheotomy-

MAJOR MeSH HEADINGS: *Airway-Obstruction-therapy; *Face-abnormalities; *Respiration-; *Skull-abnormalities

CHECKTAGS: Human

PUBLICATION TYPE: JOURNAL-ARTICLE

MEDLINE ACCESSION NUMBER: 97227182

UPDATE CODE: 199707

SUBSET: DENTAL

Record 54 of 99 in MEDLINE EXPRESS (R) 1994-1996

TITLE: Sleep apnea associated with congenital diseases and moderate hypertrophy of tonsils.

AUTHOR(S): Suzuki-K; Yamamoto-S; Ito-Y; Baba-S

ADDRESS OF AUTHOR: Department of Otorhinolaryngology, Nagoya City University Medical School, Nagoya, Japan.

SOURCE (BIBLIOGRAPHIC CITATION): Acta-Otolaryngol-Suppl. 1996; 523: 225-7

INTERNATIONAL STANDARD SERIAL NUMBER: 0365-5237

PUBLICATION YEAR: 1996

LANGUAGE OF ARTICLE: ENGLISH

COUNTRY OF PUBLICATION: NORWAY

ABSTRACT: In this paper, we studied 3 children with moderate hypertrophy of the palatine tonsils and adenoids and serious congenital diseases. The first patient was a 4-year-old girl with Fallot's tetralogy, the second was a 6-year-old girl with Goldenhar syndrome and ventricular septal defect, aortic stenosis and patent ductus arteriosus, and the third was a 3-year-old boy with cerebral palsy and epilepsy. We examined obstructive apnea during sleep in these patients using all-night polysomnogram or apnomonitor before surgical therapy. After tonsillectomy or adeno-tonsillectomy we confirmed significant improvement of clinical symptoms and obstructive sleep apnea in these patients by all-night polysomnograms or apnomonitor.

MINOR MESH HEADINGS: Adenoids-surgery; Child-; Child,-Preschool; Sleep-Apnea-Syndromes-surgery; Sleep-Stages; Sleep,-REM; Tonsil-surgery

MAJOR MeSH HEADINGS: *Adenoids-physiopathology; *Sleep-Apnea-Syndromes-complications; *Tetralogy-of-Fallot-complications; *Tonsil-physiopathology

CHECKTAGS: Case-Report; Female; Human; Male

PUBLICATION TYPE: JOURNAL-ARTICLE

MEDLINE ACCESSION NUMBER: 97111109

UPDATE CODE: 199706

Record 55 of 99 in MEDLINE EXPRESS (R) 1994-1996

TITLE: [Oculoauriculovertebral syndrome (Goldenhar syndrome)]

AUTHOR(S): Matsuo-K

ADDRESS OF AUTHOR: Department of Pediatrics, Sanyo Central Hospital.

SOURCE (BIBLIOGRAPHIC CITATION): Ryoikibetsu-Shokogun-Shirizu. 1996(15): 287-8

PUBLICATION YEAR: 1996

LANGUAGE OF ARTICLE: JAPANESE; NON-ENGLISH

COUNTRY OF PUBLICATION: JAPAN

MINOR MESH HEADINGS: Infant-

MAJOR MeSH HEADINGS: *Goldenhar-Syndrome

CHECKTAGS: Human; Male

PUBLICATION TYPE: JOURNAL-ARTICLE; REVIEW; REVIEW,-TUTORIAL

MEDLINE ACCESSION NUMBER: 97200081

UPDATE CODE: 199706

Record 56 of 99 in MEDLINE EXPRESS (R) 1994-1996

TITLE: Early prenatal diagnosis of oculoauriculovertebral dysplasia or the Goldenhar syndrome.

AUTHOR(S): De-Catte-L; Laubach-M; Legein-J; Goossens-A

ADDRESS OF AUTHOR: Department of Obstetrics and Prenatal Diagnosis, University Hospital, Free University Brussels, Belgium.

SOURCE (BIBLIOGRAPHIC CITATION): Ultrasound-Obstet-Gynecol. 1996 Dec; 8(6): 422-4

INTERNATIONAL STANDARD SERIAL NUMBER: 0960-7692

PUBLICATION YEAR: 1996

LANGUAGE OF ARTICLE: ENGLISH

COUNTRY OF PUBLICATION: ENGLAND

ABSTRACT: We report a case of the sonographic detection of oculoauriculovertebral dysplasia in a fetus at 15 weeks' gestation. An early diagnosis was suggested by observation of a maxillar cleft in association with unilateral microphthalmia. In the presence of microphthalmia the syndrome is likely to include mental retardation. When the diagnosis is made in the perinatal period, management generally involves cosmetic surgery. If, however, the condition is recognized in the early stages of gestation, termination of pregnancy may be an option.

MINOR MESH HEADINGS: Adult-; Gestational-Age; Goldenhar-Syndrome-pathology; Goldenhar-Syndrome-radiography; Pregnancy-; Pregnancy-Outcome; Pregnancy-Trimester,-Second

MAJOR MeSH HEADINGS: *Goldenhar-Syndrome-ultrasonography; *Ultrasonography,-Prenatal

CHECKTAGS: Case-Report; Female; Human

PUBLICATION TYPE: JOURNAL-ARTICLE

MEDLINE ACCESSION NUMBER: 97166564

UPDATE CODE: 199706

Record 57 of 99 in MEDLINE EXPRESS (R) 1994-1996

TITLE: Report of a new case of axial mesodermal dysplasia complex.

AUTHOR(S): Bini-R; Danti-DA; Materassi-M; Pela-I

ADDRESS OF AUTHOR: Department of Pediatrics, University of Florence, Italy.

SOURCE (BIBLIOGRAPHIC CITATION): Clin-Genet. 1996 Nov; 50(5): 407-10

INTERNATIONAL STANDARD SERIAL NUMBER: 0009-9163

PUBLICATION YEAR: 1996

LANGUAGE OF ARTICLE: ENGLISH

COUNTRY OF PUBLICATION: DENMARK

ABSTRACT: We present a female child with phenotypical and clinical features of the axial mesodermal dysplasia complex. Typical manifestations of both the Goldenhar syndrome and the caudal regression syndrome are present in this complex. Only a few reports have described patients with this pattern of malformations localized in both the cranial and caudal regions. Our case represents a mild form of the complex and may contribute to a better delineation of this condition.

MINOR MESH HEADINGS: Goldenhar-Syndrome-pathology; Infant-; Nuclear-Magnetic-Resonance; Skull-abnormalities; Spine-radiography; Syndrome-

MAJOR MeSH HEADINGS: *Abnormalities,-Multiple-pathology; *Bone-Diseases,-Developmental-pathology; *Mesoderm-; *Spine-abnormalities

CHECKTAGS: Case-Report; Female; Human

PUBLICATION TYPE: JOURNAL-ARTICLE

MEDLINE ACCESSION NUMBER: 97159817

UPDATE CODE: 199705

Record 58 of 99 in MEDLINE EXPRESS (R) 1994-1996

TITLE: [Facio-auriculo-vertebral syndrome or oculo-auriculo-vertebral dysplasia (Goldenhar): report of 2 clinical cases]

ORIGINAL TITLE: Sindrome facio-auricolo-vertebrale o displasia oculo-auricolo-vertebrale (Goldenhar): descrizione di due casi clinici.

AUTHOR(S): Conforto-F; Conte-S; Branchi-M; Bonora-G

ADDRESS OF AUTHOR: Divisione di Pediatria, Ospedale di Sondrio, Italia.

SOURCE (BIBLIOGRAPHIC CITATION): Pediatr-Med-Chir. 1996 Jul-Aug; 18(4): 411-3

INTERNATIONAL STANDARD SERIAL NUMBER: 0391-5387

PUBLICATION YEAR: 1996

LANGUAGE OF ARTICLE: ITALIAN; NON-ENGLISH

COUNTRY OF PUBLICATION: ITALY

ABSTRACT: We describe two cases of oculo-auricolo-vertebral dysplasia (OAV). The OAV spectrum is markedly broad and in some instances could results in diagnostic problems. One of our cases is classic Goldenhar syndrome. The other is a subgroup with microtia and mandibular hypoplasia. In the OAV the possibility of hearing impairment requires early recognition.

MINOR MESH HEADINGS: English-Abstract; Goldenhar-Syndrome-diagnosis; Infant,-Newborn

MAJOR MeSH HEADINGS: *Goldenhar-Syndrome

CHECKTAGS: Case-Report; English-Abstract; Female; Human; Male

PUBLICATION TYPE: JOURNAL-ARTICLE

MEDLINE ACCESSION NUMBER: 97121932

UPDATE CODE: 199705

Record 59 of 99 in MEDLINE EXPRESS (R) 1994-1996

TITLE: The Birmingham bone anchored hearing aid programme: paediatric experience and results.

AUTHOR(S): Powell-RH; Burrell-SP; Cooper-HR; Proops-DW

ADDRESS OF AUTHOR: Department of Audiology, Queen Elizabeth Hospital, University Hospital Birmingham NHS Trust, UK.

SOURCE (BIBLIOGRAPHIC CITATION): J-Laryngol-Otol-Suppl. 1996; 21: 21-9

INTERNATIONAL STANDARD SERIAL NUMBER: 0144-2945

PUBLICATION YEAR: 1996

LANGUAGE OF ARTICLE: ENGLISH

COUNTRY OF PUBLICATION: ENGLAND

ABSTRACT: Over a five-year period, 34 patients have been referred to the Birmingham bone anchored hearing aid programme, paediatric section, of who 21 are now wearing the bone anchored hearing aid (BAHA) and four are awaiting surgery for fitting of the BAHA. Of the patients assessed, found to be suitable and who proceeded to surgery for the BAHA, 44 per cent had Treacher Collins syndrome, 28 per cent had bilateral atresia or microtia, 16 per cent had Goldenhaar's syndrome, four per cent (one patient) had branchio-otorenal syndrome and eight per cent had chronic suppurative otitis media. This paper presents objective and subjective data collected from these patients. It is shown that the BAHA is a very effective hearing aid for children with congenital hearing loss.

MINOR MESH HEADINGS: Adolescence-; Branchio-Oto-Renal-Syndrome-rehabilitation; Branchio-Oto-Renal-Syndrome-surgery; Child-; Child,-Preschool; Ear,-Middle-abnormalities; England-; Goldenhar-Syndrome-rehabilitation; Goldenhar-Syndrome-surgery; Hearing-Disorders-rehabilitation; Hearing-Loss,-Conductive-rehabilitation; Hearing-Loss,-Conductive-surgery; Mandibulofacial-Dysostosis-rehabilitation; Mandibulofacial-Dysostosis-surgery; Otitis-Media,-Suppurative-rehabilitation; Otitis-Media,-Suppurative-surgery; Treatment-Outcome

MAJOR MeSH HEADINGS: *Hearing-Aids; *Hearing-Disorders-surgery; *Osseointegration-; *Temporal-Bone-surgery

CHECKTAGS: Human

PUBLICATION TYPE: JOURNAL-ARTICLE

MEDLINE ACCESSION NUMBER: 97167828

UPDATE CODE: 199704

Record 60 of 99 in MEDLINE EXPRESS (R) 1994-1996

TITLE: Frontonasal malformation and the oculoauriculovertebral spectrum: the oculoauriculofrontonasal syndrome.

AUTHOR(S): Casey-HD; Braddock-SR; Haskins-RC; Carey-JC; Morales-L Jr

ADDRESS OF AUTHOR: University of Utah School of Medicine, Salt Lake City, USA.

SOURCE (BIBLIOGRAPHIC CITATION): Cleft-Palate-Craniofac-J. 1996 Nov; 33(6): 519-23

INTERNATIONAL STANDARD SERIAL NUMBER: 1055-6656

PUBLICATION YEAR: 1996

LANGUAGE OF ARTICLE: ENGLISH

COUNTRY OF PUBLICATION: UNITED-STATES

ABSTRACT: Frontonasal malformation (FNM) is a developmental field defect representing abnormal morphogenesis of the frontonasal eminence. The oculoauriculovertebral spectrum (OAVS) has been used to describe a broader range of first and second branchial-arch defects including hemifacial microsomia and Goldenhar's syndrome. A combination of FNM and OAVS has been described in the literature in 13 cases. This condition has been labeled as the oculoauriculofrontonasal syndrome, as well as ophthalmofrontonasal dysplasia. We have evaluated four patients with both FNM and OAVS. The pattern of malformation involves only the craniofacies: they have no vertebral defects, heart disease, or encephaloceles. The categorization of these four individuals and those in the literature raises interesting issues regarding syndrome classification. Originally, it was suggested that perhaps this disorder was a variation of Goldenhar's syndrome. However, now that it has become evident that FNM and OAVS are malformation patterns of etiologic and presumably pathogenetic heterogeneity, a more likely hypothesis is that when these two defects occur together, this represents a unique syndrome pattern. The purpose of this article is to suggest that the combination of OAVS and FNM may be a distinct entity, representing a discreet subset of patients.

MINOR MESH HEADINGS: Adolescence-; Child,-Preschool; Frontal-Bone-abnormalities; Goldenhar-Syndrome-classification; Syndrome-

MAJOR MeSH HEADINGS: *Craniofacial-Abnormalities-classification; *Craniofacial-Abnormalities-pathology; *Ear,-External-abnormalities; *Eyelids-abnormalities; *Facial-Asymmetry-pathology; *Nose-abnormalities

CHECKTAGS: Case-Report; Female; Human; Male

PUBLICATION TYPE: JOURNAL-ARTICLE; REVIEW; REVIEW-OF-REPORTED-CASES

MEDLINE ACCESSION NUMBER: 97093917

UPDATE CODE: 199704

SUBSET: DENTAL

Record 61 of 99 in MEDLINE EXPRESS (R) 1994-1996

TITLE: [Familial occurrence of oculoauricolovertebral dysplasia and Franceschetti syndrome]

ORIGINAL TITLE: Familiare Haufung von okuloaurikulovertebraler Dysplasie und Franceschetti-Syndrom.

AUTHOR(S): Bestelmeyer-U; Weerda-H; Siegert-R; Greiwe-M; Schwinger-E

ADDRESS OF AUTHOR: Institut fur Humangenetik, Medizinischen Universitat zu Lubeck.

SOURCE (BIBLIOGRAPHIC CITATION): HNO. 1996 Aug; 44(8): 452-5

INTERNATIONAL STANDARD SERIAL NUMBER: 0017-6192

PUBLICATION YEAR: 1996

LANGUAGE OF ARTICLE: GERMAN; NON-ENGLISH

COUNTRY OF PUBLICATION: GERMANY

ABSTRACT: Oculoauriculovertebral dysplasia (OAV) and the Franceschetti syndrome (FS) are well-known complexes of anomalies that have dysplasias of the external ear as a common occurrence. In this study the specific patterns of symptoms and familial occurrences of 100 patients with external ear dysplasias were examined (88 patients with OAV dysplasia and 12 patients with FS). Analyzing the pedigree data of the probands, we ascertained the relatives with striking symptoms and associated anomalies of OAV dysplasia. The aim of this study was to determine the influence of genetic transmission on OAV dysplasia in comparison to FS. A striking family history was found in 66.6% of the patients with FS. In 26.1%, family members of patients with OAV dysplasia had external ear dysplasias or other striking symptoms of OAV dysplasia. In this complex of anomalies we also found a higher frequency of skeletal deformities and congenital heart defects than in the normal population. On the basis of our results we suggest that there is a genetic transmission in patients with FS as well as in some cases with OAV dysplasia. Our findings show that it is absolutely necessary to analyze family history very carefully when discussing the recurrence risk or risk of genetic transmission.

MINOR MESH HEADINGS: Adolescence-; Adult-; Child-; Child,-Preschool; English-Abstract; Genetic-Screening; Heterozygote-Detection; Risk-Factors

MAJOR MeSH HEADINGS: *Ear,-External-abnormalities; *Goldenhar-Syndrome-genetics

CHECKTAGS: English-Abstract; Female; Human; Male

PUBLICATION TYPE: JOURNAL-ARTICLE

MEDLINE ACCESSION NUMBER: 96398161

UPDATE CODE: 199702

Record 62 of 99 in MEDLINE EXPRESS (R) 1994-1996

TITLE: Oculo-auriculo-vertebral spectrum and the CHARGE association: clinical evidence for a common pathogenetic mechanism.

AUTHOR(S): Van-Meter-TD; Weaver-DD

ADDRESS OF AUTHOR: Department of Medical and Molecular Genetics, Indiana University School of Medicine, Indianapolis 46202-5251, USA.

SOURCE (BIBLIOGRAPHIC CITATION): Clin-Dysmorphol. 1996 Jul; 5(3): 187-96

INTERNATIONAL STANDARD SERIAL NUMBER: 0962-8827

PUBLICATION YEAR: 1996

LANGUAGE OF ARTICLE: ENGLISH

COUNTRY OF PUBLICATION: ENGLAND

ABSTRACT: We describe two infants with features of both the oculo-auriculo-vertebral spectrum (OAVS) and the CHARGE association (CA). Both patients are more severely affected than the typical patient with the OAVS. Each has facial asymmetry, mandibular hypoplasia, ear abnormalities, hearing impairment, microphthalmia, heart defects, and developmental delay. They also have features that are not characteristic of either OAVS or CA including torticollis, plagiocephaly, and heminostril. Based on the findings of these patients and other reported in the literature, there appears to be a significant overlap of features between OAVS and CA, and we suggest that these conditions in fact may be produced by the same pathogenetic mechanism. One such mechanism to explain the overlap of these disorders is that both conditions are part of the axial mesodermal spectrum, and represent a dysblastogenetic process. This mechanism may also explain the presence of some of the additional features not normally seen in OAVs and CA but seen in these two infants.

MINOR MESH HEADINGS: Abnormalities,-Multiple-classification; Abnormalities,-Multiple-physiopathology; Diagnosis,-Differential; Follow-Up-Studies; Goldenhar-Syndrome-classification; Goldenhar-Syndrome-physiopathology; Infant-; Infant,-Newborn

MAJOR MeSH HEADINGS: *Abnormalities,-Multiple-diagnosis; *Goldenhar-Syndrome-diagnosis

CHECKTAGS: Case-Report; Female; Human; Male

PUBLICATION TYPE: JOURNAL-ARTICLE

MEDLINE ACCESSION NUMBER: 96415521

UPDATE CODE: 199702

Record 63 of 99 in MEDLINE EXPRESS (R) 1994-1996

TITLE: Abnormalities of the spine in Goldenhar's syndrome.

AUTHOR(S): Gibson-JN; Sillence-DO; Taylor-TK

ADDRESS OF AUTHOR: Children's Hospital, Camperdown, Sydney, Australia.

SOURCE (BIBLIOGRAPHIC CITATION): J-Pediatr-Orthop. 1996 May-Jun; 16(3): 344-9

INTERNATIONAL STANDARD SERIAL NUMBER: 0271-6798

PUBLICATION YEAR: 1996

LANGUAGE OF ARTICLE: ENGLISH

COUNTRY OF PUBLICATION: UNITED-STATES

ABSTRACT: The vertebral abnormalities present in 35 patients diagnosed with Goldenhar's syndrome are reported. There was no absolute correlation between the presence of any of the formative or segmentation vertebral defects and that of other concomitant malformations. This study supports the conclusion that patients with various groupings of Goldenhar-related anomalies should be considered as a single entity, to which the name Goldenhar association could be applied.

MINOR MESH HEADINGS: Adolescence-; Child-; Child,-Preschool; Goldenhar-Syndrome-diagnosis; Prognosis-; Scoliosis-complications; Scoliosis-radiography; Scoliosis-therapy; Spinal-Diseases-radiography; Spinal-Diseases-therapy; Spinal-Fusion; Spine-radiography

MAJOR MeSH HEADINGS: *Goldenhar-Syndrome-complications; *Spinal-Diseases-complications; *Spine-abnormalities

CHECKTAGS: Female; Human; Male

PUBLICATION TYPE: JOURNAL-ARTICLE

MEDLINE ACCESSION NUMBER: 96284851

UPDATE CODE: 199701

Record 64 of 99 in MEDLINE EXPRESS (R) 1994-1996

TITLE: Goldenhar syndrome with multiple additional anomalies.

AUTHOR(S): Jaison-SG; Batra-N

ADDRESS OF AUTHOR: Department of Ophthalmology, Christian Medical College & Hospital, Ludhiana, Punjab.

SOURCE (BIBLIOGRAPHIC CITATION): Indian-J-Ophthalmol. 1996 Mar; 44(1): 42-4

INTERNATIONAL STANDARD SERIAL NUMBER: 0301-4738

PUBLICATION YEAR: 1996

LANGUAGE OF ARTICLE: ENGLISH

COUNTRY OF PUBLICATION: INDIA

MINOR MESH HEADINGS: Goldenhar-Syndrome-diagnosis; Goldenhar-Syndrome-therapy; Infant-

MAJOR MeSH HEADINGS: *Abnormalities,-Multiple-etiology; *Cryptorchidism-etiology; *Ear-abnormalities; *Eye-Abnormalities-etiology; *Goldenhar-Syndrome-complications

CHECKTAGS: Case-Report; Human; Male

PUBLICATION TYPE: JOURNAL-ARTICLE

MEDLINE ACCESSION NUMBER: 96425998

UPDATE CODE: 199701

Record 65 of 99 in MEDLINE EXPRESS (R) 1994-1996

TITLE: Syringomyelia as a complication of Goldenhar syndrome [letter; comment]

COMMENTS: Comment on: Childs Nerv Syst 1995 Dec;11(12):708-11

AUTHOR(S): Tekkok-IH

SOURCE (BIBLIOGRAPHIC CITATION): Childs-Nerv-Syst. 1996 Jun; 12(6): 291

INTERNATIONAL STANDARD SERIAL NUMBER: 0256-7040

PUBLICATION YEAR: 1996

LANGUAGE OF ARTICLE: ENGLISH

COUNTRY OF PUBLICATION: GERMANY

MINOR MESH HEADINGS: Adult-

MAJOR MeSH HEADINGS: *Goldenhar-Syndrome-complications; *Syringomyelia-etiology

CHECKTAGS: Case-Report; Female; Human

PUBLICATION TYPE: COMMENT; LETTER

MEDLINE ACCESSION NUMBER: 96413076

UPDATE CODE: 199701

Record 66 of 99 in MEDLINE EXPRESS (R) 1994-1996

TITLE: [Goldenhar syndrome: apropos of a case]

ORIGINAL TITLE: Syndrome de Goldenhar: a propos d'un cas.

AUTHOR(S): D'Khissy-M; El-Belhadji-M; Hamdani-M; Laraqui-NZ; Zaghloul-K; Amraoui-A; Benchakroun-Y

ADDRESS OF AUTHOR: Service d'Ophtalmologie, Hopital 20 Aout, Casablanca, Maroc.

SOURCE (BIBLIOGRAPHIC CITATION): Rev-Laryngol-Otol-Rhinol-Bord. 1996; 117(1): 61-3

INTERNATIONAL STANDARD SERIAL NUMBER: 0035-1334

PUBLICATION YEAR: 1996

LANGUAGE OF ARTICLE: FRENCH; NON-ENGLISH

COUNTRY OF PUBLICATION: FRANCE

ABSTRACT: We report a case of Goldenhar syndrom in thirty eight old woman who has been refered to us for peribulbar choristoma. The authors discuss the different ophthalmological, otolaryngological and general manifestation of this syndrom and the therapeutic modalities of the ocular anomalies.

MINOR MESH HEADINGS: Adult-; English-Abstract

MAJOR MeSH HEADINGS: *Goldenhar-Syndrome

CHECKTAGS: Case-Report; English-Abstract; Female; Human

PUBLICATION TYPE: JOURNAL-ARTICLE; REVIEW; REVIEW,-TUTORIAL

MEDLINE ACCESSION NUMBER: 96319006

UPDATE CODE: 199612

Record 67 of 99 in MEDLINE EXPRESS (R) 1994-1996

TITLE: Goldenhar, Mobius and hypoglossia-hypodactyly anomalies in a patient: syndrome or association?

AUTHOR(S): Preis-S; Majewski-F; Hantschmann-R; Schumacher-H; Lenard-HG

ADDRESS OF AUTHOR: Universitatskinderklinik, Dusseldorf, Germany.

SOURCE (BIBLIOGRAPHIC CITATION): Eur-J-Pediatr. 1996 May; 155(5): 385-9

INTERNATIONAL STANDARD SERIAL NUMBER: 0340-6199

PUBLICATION YEAR: 1996

LANGUAGE OF ARTICLE: ENGLISH

COUNTRY OF PUBLICATION: GERMANY

ABSTRACT: The Mobius, Goldenhar and hypoglossia-hypodactyly anomalies are usually sporadic conditions with a recurrence risk of about 2%. The combination of Goldenhar and one or the two others is rare, whereas the concomitant occurrence of Mobius and hypoglossia-hypodactyly, and/or Poland, and/or Klippel-Feil anomaly is well known. Pathogenetically, vascular disruptions around the 4th embryonic week have been hypothesized. In vivo and pathological studies as well as animal models support this theory for all the above-mentioned combinations. Whether a preceding blastogenetic alteration is an influencing factor or a disorganization mutation, remains unclear. We describe a 3-year-old girl with bilateral anotia, epidermoid on the right eye, 6th and 7th nerve palsy, hypoglossia, left hypodactyly, and ventricular septal defect. CONCLUSION: We wish to emphasize the aetiological relevance of vascular disruptions in this previously unreported combination of Mobius, Goldenhar and hypoglossia-hypodactyly anomalies. The concurrence of anomalies in this patient represents an association and not a pleiotropic syndrome.

MINOR MESH HEADINGS: Child,-Preschool; Cranial-Nerve-Diseases-complications; Goldenhar-Syndrome-complications; Syndrome-

MAJOR MeSH HEADINGS: *Abducens-Nerve; *Abnormalities,-Multiple; *Facial-Nerve; *Fingers-abnormalities; *Goldenhar-Syndrome; *Tongue-abnormalities

CHECKTAGS: Case-Report; Female; Human

PUBLICATION TYPE: JOURNAL-ARTICLE

MEDLINE ACCESSION NUMBER: 96302961

UPDATE CODE: 199612

Record 68 of 99 in MEDLINE EXPRESS (R) 1994-1996

TITLE: [The use of 3-dimensional models in craniofacial surgery]

ORIGINAL TITLE: Het gebruik van driedimensionale modellen in de craniofaciale chirurgie.

AUTHOR(S): Wittkampf-AR; Zonneveld-FW

ADDRESS OF AUTHOR: Afd. Mond-, Kaak- en Aangezichtschirurgie, Academisch Ziekenhuis, Utrecht.

SOURCE (BIBLIOGRAPHIC CITATION): Ned-Tijdschr-Geneeskd. 1996 Jun 29; 140(26): 1353-8

INTERNATIONAL STANDARD SERIAL NUMBER: 0028-2162

PUBLICATION YEAR: 1996

LANGUAGE OF ARTICLE: DUTCH; NON-ENGLISH

COUNTRY OF PUBLICATION: NETHERLANDS

ABSTRACT: With the aid of axial CT scanning a polyurethane or resin copy of bony tissue of the craniofacial region of interest can be manufactured. 3-dimensional models are used in planning of osteotomies of the midface and forehead, where complex bone transpositions are to be performed, and in manufacturing complex implants. Different preoperative steps in several patients are demonstrated and the postoperative results are shown. Patient A was a 9-year-old girl who had radiotherapy as a baby for retinoblastoma which destroyed a large part of her face. In patient B, a 46-year-old woman, the whole zygomatic bone and three-quarters of the floor of the orbit were among other things resected for a low-grade osteosarcoma. Patient C had Goldenhar's syndrome (oculoauriculovertebral dysplasia). In all 3 patients reconstructive surgery was prepared with 3-dimensional cut models.

MINOR MESH HEADINGS: Adult-; Child-; Computer-Simulation; English-Abstract; Facial-Asymmetry-etiology; Facial-Bones-surgery; Facial-Neoplasms-complications; Facial-Neoplasms-surgery; Middle-Age; Surgery,-Plastic-methods

MAJOR MeSH HEADINGS: *Facial-Asymmetry-surgery; *Models,-Anatomic

CHECKTAGS: Case-Report; English-Abstract; Female; Human

PUBLICATION TYPE: JOURNAL-ARTICLE

MEDLINE ACCESSION NUMBER: 96288986

UPDATE CODE: 199611

Record 69 of 99 in MEDLINE EXPRESS (R) 1994-1996

TITLE: Three-generation family with resemblance to Townes-Brocks syndrome and Goldenhar/oculoauriculovertebral spectrum.

AUTHOR(S): Johnson-JP; Poskanzer-LS; Sherman-S

ADDRESS OF AUTHOR: Shodair Children's Hospital, Helena, Montana 59604-5539, USA.

SOURCE (BIBLIOGRAPHIC CITATION): Am-J-Med-Genet. 1996 Jan 11; 61(2): 134-9

INTERNATIONAL STANDARD SERIAL NUMBER: 0148-7299

PUBLICATION YEAR: 1996

LANGUAGE OF ARTICLE: ENGLISH

COUNTRY OF PUBLICATION: UNITED-STATES

ABSTRACT: The Townes-Brocks syndrome (TBS) is comprised of a triad including characteristic anal, thumb, and ear anomalies. There are many other organ system abnormalities which may be present. However, the literature does not emphasize craniofacial findings except with reference to the typical ear configuration. A three-generation family is described in which craniofacial manifestations were prominent and a Goldenhar-like condition was considered as the most likely diagnosis. However, with the recent birth of an affected male who had an imperforate anus, the diagnosis of TBS was also considered. The family manifests a variety of Goldenhar-like findings, including epibulbar dermoids, hemifacial microsomia, preauricular tags, macrostomia, and micrognathia in addition to classical ear, radial, and anal findings of TBS. We report on this family to point out a possible biological relationship of these two conditions.

MINOR MESH HEADINGS: Adult-; Anus-abnormalities; Child-; Dermoid-Cyst; Ear-abnormalities; Facial-Asymmetry; Facial-Bones-abnormalities; Infant-; Infant,-Newborn; Middle-Age; Pedigree-; Syndrome-; Thumb-abnormalities

MAJOR MeSH HEADINGS: *Abnormalities,-Multiple-diagnosis; *Goldenhar-Syndrome-diagnosis

CHECKTAGS: Case-Report; Female; Human; Male

PUBLICATION TYPE: JOURNAL-ARTICLE

MEDLINE ACCESSION NUMBER: 96264114

UPDATE CODE: 199610

Record 70 of 99 in MEDLINE EXPRESS (R) 1994-1996

TITLE: Vertical orbital dystopia.

AUTHOR(S): Tan-ST; Ashworth-G; Czypionka-S; Poole-MD; Briggs-M

ADDRESS OF AUTHOR: Oxford Craniofacial Unit, Radcliffe Infirmary, England.

SOURCE (BIBLIOGRAPHIC CITATION): Plast-Reconstr-Surg. 1996 Jun; 97(7): 1349-61

INTERNATIONAL STANDARD SERIAL NUMBER: 0032-1052

PUBLICATION YEAR: 1996

LANGUAGE OF ARTICLE: ENGLISH

COUNTRY OF PUBLICATION: UNITED-STATES

ABSTRACT: Many pathologic processes may lead to vertical orbital dystopia. We reviewed 47 consecutive cases seen over a 13-year period. Twenty-nine patients underwent eye leveling procedures to improve cosmesis, 2 of these by camouflage procedures and 27 by orbital translocation. Ten patients had 16 secondary operations. There was one death, serious complications occurred in 3 patients, and nuisance complications occurred in 20 others. Seven patients developed diplopia postoperatively, and in 6 patients it was troublesome. In these, it resolved fully in 2 patients, improved to be of no consequence in 2, and in the remaining 2 troublesome symptoms persisted requiring inferior oblique muscle recession in 1. Binocular vision was never restored when not present preoperatively, and in 3 patients temporary loss occurred. There was an overall modest but significant improvement in appearance after surgery. It is concluded that vertical orbital translocation is rewarding and worthwhile.

MINOR MESH HEADINGS: Abnormalities,-Multiple; Adolescence-; Adu