Affiliation:
1. David Geffen School of Medicine at UCLA, Los Angeles, Department of Pediatrics, So. Cal. Permanente Medical Group, Panorama City, California
Abstract
Neonatal asymmetric crying facies, described 75 years ago, is a clinical phenotype resembling unilateral partial peripheral facial nerve paralysis, with an incidence of approximately 1 per 160 live births. The cause is either facial nerve compression or faulty facial muscle and/or nerve development. Spontaneous resolution is expected with the former, but not necessarily with the latter etiology. Approximately 10% of the developmental cases have associated major malformations. Mandibular asymmetry and maxillary-mandibular asynclitism (non-parallelism of the gums) are frequently overlooked visual clues to nerve compression. Ultrasound imaging of facial muscles and electrodiagnostic testing may be useful for differential diagnosis and management.
Subject
Pediatrics, Perinatology and Child Health
Cited by
27 articles.
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