5.facial hemihypertrophy

1. Facial hemihypertrophy

2. General information Entire half of the body, one or both limbs, face, head and associated structure may be involved Hyperplasia of the tissue rather than hypertrophy of the tissue is represented

3. Aetiology Endocrine dysfunction Genetic Vascular abnormalities neurogenic malformations

4. Clinical features It involves the eyelids, cheeks, lips, facial bones, tongue, ears and tonsils more common on right side of the body poorly localised , vague, painful sensation in muscles affected enlargement of one half of the face present since birth associated with other abnormalities like mental deficiency, skin abnormalities, compensatory scoliosis and hemi- megalencephaly

5. Oral manifestation Dentition is abnormal in three respects – Crown size and root may be large Bone of maxilla and mandible is also enlarged buccal mucosa frequently appears velvety and may hang in soft pendulous folds on affected side

6. Radiographic features Bone enlargement alveolar process is enlarged in some cases mandibular canal increases on the affected site Crown size of the teeth is enlarged

7. Diagnosis Enlargement of one side of face can be noticed clinically radiological diagnosis show enlargement of bone and teeth on one side

8. Management Cosmetic repair – includes soft tissue debulking , face lifts ad orthognathic surgery