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Frequency of associated anomalies in congenital hypoplasia of depressor anguli oris muscle: A study of 50 patients

✍ Scribed by Lin, Dar-Shong; Huang, Fu-Yuan; Lin, Shuan-Pei; Chen, Min-Ren; Kao, Hsin-An; Hung, Han-Yang; Hsu, Chyong-Hsin

Publisher: John Wiley and Sons
Year: 1997
Tongue: English
Weight: 27 KB
Volume: 71
Category: Article
ISSN: 0148-7299
DOI: 10.1002/(sici)1096-8628(19970808)71:2<215::aid-ajmg18>3.0.co;2-h

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✦ Synopsis

Aside from congenital heart disease, anomalies associated with unilateral hypoplasia of the depressor anguli oris muscle have not been well-documented in large series. We evaluated the associated anomalies in 50 infants or children with this disorder (male: female = 2:1) and found accompanying anomalies in 35 (70%) of 50 cases. They included anomalies of the head and neck (48%), heart (44%), skeleton (22%), genitourinary tract (24%), central nervous system (10%), gastrointestinal tract (6%), and miscellaneous minor anomalies (8%). Nearly half of our cases (22/50) had at least 2 associated systemic anomalies. Failure to thrive and psychomotor retardation were found in 5 (10%) and 3 (6%) patients, respectively, on follow-up. Three infants died neonatally of severe heart disorders, and the other one died of central nervous system anomalies. The above findings indicate that a thorough search for associated anomalies, particularly in the cardiovascular system, should be performed in all newborns with asymmetric crying face.

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