Hemifacial Microsomia

Causes of Facial Paralysis Hemifacial Microsomia

A condition called “Hemifacial Microsomia” is one in which part of the face did not develop normally. Development of the ear and the jaw are compromised but can be surgically improved. After clefts this syndrome runs in second for surgical aid for the patient.

There are no studies that link “Hemifacial Microsomia” to the actions or activities of mother’s during pregnancy. Why it happens still baffles researchers. It could be a lack of blood supply to the fetus’s brachial arches in the first eight weeks of pregnancy. Adults wanting more children can expect a mere 1% chance of transferring Hemifacial problems to other children.

The winning idea behind surgery for children is the fact that the bone and soft tissue can be corrected. The age for these surgeries depends upon the surgeon and the general condition of the child. Common surgeries include:

Lowering the upper jaw to match the opposite side and lengthening the lower jaw. Sometimes a bone graft is used to lengthen the jaw and sometimes a distraction device is used. Ear reconstruction at about 5-6 years of age, involves 3 to 4 surgeries. Occasionally, it may be necessary to add bone to build up the cheekbone. Some children benefit from the addition of soft tissues to further balance the face.

Your child may have skin tags in front of the ear or on different parts of the face. Hearing problems depend on the structures that are involved. Some children have some weakness in movement on the affected side of the face.

At the Facial Paralysis Institute in Beverly Hills, Dr. Azizzadeh’s mission is to provide cutting-edge care to those who suffer from Hemifacial Microsomia. He aims to answer patients’ questions in a thoughtful and thorough manner to give them confidence about their treatment options. Here are answers to frequently asked questions about Hemifacial Microsomia.

Q: What is Hemifacial Microsomia?

A: Hemifacial Microsomia may occur on one or both sides of the face. It is present at birth and affects the lower half of the face, including the ears and mouth. These features do not develop properly to match the upper portion of the face and appear asymmetrical and uneven. Functional issues, such as breathing problems, may result from Hemifacial Microsomia deformities.

Q: What Causes Hemifacial Microsomia?

A: The condition develops in the fetal stage of pregnancy, usually between 4 and 8 weeks of gestation. However, Hemifacial Microsomia has no definitive causes. Vascular blockages or lack of blood supply to the face may contribute to the abnormal development of the lower region of the face.

Q: What Are the Best Treatment Options for Hemifacial Microsomia?

A: Dr. Azizzadeh assesses the best treatment plans for each individual patient. In cases of Hemifacial Microsomia, surgical procedures treat the jaw and ear areas. When children have surgery, the bone and soft tissue can be corrected to restructure the face in a more symmetrical way. Lengthening the jaw with a bone graft and ear reconstruction are a couple of common treatment options.

If you are suffering from facial paralysis or any other related condition, schedule a consultation with Beverly Hills facial paralysis expert Dr. Azizzadeh by calling (310) 657-2203 today!

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