362 - Dental Treatment and Medical Considerations for Patient with Goldenhar Syndrome

Saturday, May 24, 2025

1:30 PM - 1:45 PM MDT

Has Audio

Presenting Author(s)

Kealey Meves, DDS

Resident
Children's Healthcare of Atlanta
Marquette University School of Dentistry
Atlanta, Georgia, United States

Research Mentor(s)

MM

Michael Minyard, DMD, MPH

Research Mentor
Children's Healthcare of Atlanta
Atlanta, Georgia, United States

Program Director(s)

BW

Brittany Waters, DMD

Program Director
Children's Healthcare of Atlanta
Atlanta, Georgia, United States

Abstract: Goldenhar syndrome, or oculo-auriculo-vertebral spectrum (OAV), is a congenital condition that affects one in every 3,000-5,000 births. This condition impacts the development of eyes, ears, and spine. A defining characteristic of OAV is hemifacial microsomia; the underdevelopment of the jaw and facial structures can cause significant challenges for the dental management of patients with OAV. Comprehensive dental treatment for patients with Goldenhar syndrome should include appropriate medical management, often involving a craniofacial team. This case report details the dental and medical coordinated care of a 13 year-old patient with Goldenhar syndrome. Due to the severity of hemifacial microsomia, this patient was treated in the operating room and received extractions, restorative treatment, and non-operative treatment as part of comprehensive dental care. Coordination with the craniofacial team is paramount in guiding dental and orthodontic treatment, particularly at appropriate developmental milestones. Lifelong team coordination can significantly improve patient outcomes and esthetic results.

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