Goldenhar's Syndrome Case Study

Abstract
Goldenhar’s syndrome was rare condition initially in the early 1950s. It is characterized by a combination of anomalies which include dermal epibulbar cysts, auricular appendices and malformations of the ears. The diagnosis of the syndrome should be based on the individual’s clinical finding which should further be associated with systemic conditions and radiological findings. To confirm a diagnosis the subject should at least have microtia and preauricular or auricular abnormalities. Here, we are reporting a case of Goldenhar’s syndrome, where almost all the classical signs of this rare condition were present.
Introduction
Goldenhar syndrome is a congenital asymmetry of the lower face that may be associated with a wide range of

Pain was sudden in onset, mild and dull aching type and was intermittent in nature, and aggravated at night; there was no specific reliving factor. There was no contributory medical history.
On extra oral examination the patient had a deviated nasal septum towards the right side. A scar was seen on the on the right side of the face, medial to the pinna. A detailed history was obtained from the parents regarding the scar which revealed that the scar is the remnant of the preauricular skin tag which was present till the patient was 2 years of age. [Figure 1] On mouth opening it was noted that the patient had a deviated and restricted mouth opening. The deviation was more towards the right side, with evident condylar hypoplasia on the affected side. Eyesight and hearing was found to be normal and the patient was born to healthy parents who had a non‑consanguineous marriage pattern. Patient’s family history was uneventful. There were no vertebral or skeletal abnormalities seen. On intra oral examination, no developmental anomalies were seen in relation to the tooth or supporting structures. A high arched palate with dental caries was noted in relation to 75 that was deep. IOPAR was advised in relation 75 and Lateral cephalogram was advised to rule out bony deformations. The IOPAR revealed a radiolucency involving enamel dentin and approximating pulp with two-thirds of root length present. There was no pathologic resorption and the underlying permanent tooth bud was