Abstract

Congenital Asymmetric Crying Face with Bilateral Microtia

Highlights

  • Congenital asymmetric crying faces is a minor congenital anomaly due to absence or hypoplasia of the depressor anguli oris muscle on one side of the mouth which manifest in a newborn at birth [1]

  • We present a case of congenital asymmetric crying face with bilateral microtia

  • If associated with other anomalies, like in our case with microtia, it can be a part of a genetic syndrome affecting multiple organ systems

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Summary

Introduction

Congenital asymmetric crying faces is a minor congenital anomaly due to absence or hypoplasia of the depressor anguli oris muscle on one side of the mouth which manifest in a newborn at birth [1]. The infant was born to a 40 y/o African mother, multigravida (6 pregnancies, 5 full term deliveries), after 39 weeks of gestation She had a history of gestational diabetes in her last pregnancy, that was controlled with diet only and the baby was born without any anomalies. The mother denied any symptoms including polyuria, fatigue, blurred vision, increased thirst or hunger, weight loss or gain She had a prenatal fetal sonogram at 16 weeks that did not show any evidence of anatomical anomalies. At time of delivery an Ultrasound screen did not detect any evident anatomical abnormalities She was seen by a genetic counselor and failed to keep up the subsequent appointment, but she Figure 2: Physical examination of Ear

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