TY - CHAP M1 - Book, Section TI - Goldenhar Syndrome A1 - Bissonnette, Bruno A1 - Luginbuehl, Igor A1 - Engelhardt, Thomas PY - 2019 T2 - Syndromes: Rapid Recognition and Perioperative Implications, 2e AB - Common birth defect of vascular origin involving the first and second branchial arch derivatives, resulting mainly in hemifacial microsomia with anomalies of the ear, eye, and vertebral bodies. Other dermatological manifestations include limbal dermoids, preauricular skin tags, and strabismus. Usually associated with severe cardiovascular anomalies including ventriculoseptal defect, atrial septal defect, patent ductus arteriosus, tetralogy of Fallot, and coarctation of the aorta. Arnold-Chiari Syndrome and hydrocephalus are reported. Airway problems (unilateral hypoplasia of the facial bones and muscles) are very important considerations as difficult tracheal intubation must be expected. A higher incidence of obstructive sleep apnea in patients affected with facial microsomia has been reported. Epibulbar dermoids. Limited mouth opening, micrognathia, and a cleft palate is often associated with this condition. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/16 UR - accesspediatrics.mhmedical.com/content.aspx?aid=1164071253 ER -