Hemifacial hypertrophy - Report of 2 cases

Indian J Dent Res. 2022 Jul-Sep;33(3):344-347. doi: 10.4103/ijdr.ijdr_688_22.

Abstract

Hemifacial hyperplasia (HH) is a rare congenital condition involving enlargement of one or more tissues of the face. The treatment is surgically challenging and requires expertise. This manuscript aims to report two similar appearing HH but warranting different surgical treatment. A 19-year-old female and a 14-year-old boy presented with right facial asymmetry since birth and sought correction of the same. Surgical treatment was planned. Based on clinical history, diagnosis and imaging, HH was diagnosed. The first case was entirely a soft tissue abnormality that was treated with debulking while the second case had involvement of facial bones, necessitating surgical recontouring. The facial asymmetry was addressed. Healing was uneventful. Though the aesthetical concern and appearance of the two cases of HH were same, the treatment vastly differed. This was based on the source of asymmetry. Proper diagnosis and informed decision are a key for successful surgical outcome.

Keywords: Craniofacial deformity; aesthetics; facial asymmetry; hemifacial hyperplasia; soft tissue correction.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Adult
  • Face*
  • Facial Asymmetry* / diagnostic imaging
  • Facial Asymmetry* / etiology
  • Female
  • Humans
  • Hyperplasia / diagnostic imaging
  • Hypertrophy
  • Male
  • Young Adult

Supplementary concepts

  • Facial Hemihypertrophy