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Diseases

Genetic and Rare Diseases Information Center (GARD)

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Hemifacial microsomia


Other Names for this Disease

  • Craniofacial microsomia
  • First and second branchial arch syndrome
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Cause

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What is the cause of hemifacial microsomia?

For most people with hemifacial microsomia, the cause of this condition is unknown. It is believed that something occurred in the early stages of development such as a disturbance of the blood supply to the first and second branchial arches in the first 6 to 8 weeks of pregnancy.[1]

Studies have suggested multiple possible risk factors for hemifacial microsomia. Environmental risk factors include the use of medications during pregnancy such as Accutane, pseudoephedrine, aspirin, or ibuprofen. Other environmental factors include second trimester bleeding, maternal diabetes, being pregnant with multiples, or the use of assisted reproductive technology. A genetic cause is found in some families, such as a chromosome disorder or a genetic syndrome.[2]

Some possible explanations when the cause of hemifacial microsomia is unknown include that there is a very small chromosome deletion or duplication that was not detected, a mutation in a yet to be identified gene, or changes in multiple genes associated with development of the face. It is also possible that a combination of having a genetic change and an environmental risk factor could cause hemifacial microsomia.[2]
Last updated: 5/1/2014

References
  1. Hemifacial Microsomia. The National Craniofacial Association. 2011; http://www.faces-cranio.org/Disord/Hemi.htm. Accessed 8/8/2013.
  2. Heike C, Hing A.. Craniofacial Microsomia. GeneReviews. March 19, 2009; http://www.ncbi.nlm.nih.gov/bookshelf/br.fcgi?book=gene&part=m-hfm-ov. Accessed 11/3/2010.
  3. Murray Je, Kaban LB & Mulliken JB. Analysis and treatment of hemifacial microsomia. Plast Reconst Surg. 1984; http://www.ncbi.nlm.nih.gov/pubmed/6463144. Accessed 8/8/2013.


Other Names for this Disease
  • Craniofacial microsomia
  • First and second branchial arch syndrome
See Disclaimer regarding information on this site. Some links on this page may take you to organizations outside of the National Institutes of Health.