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Facial Asymmetry in a Crying Newborn: A Comparison of Two Cases and Review of Literature
Facial asymmetry in a crying newborn can be due to a variety of different causes. Neonatal asymmetric crying facies (NACF) is a specific phenotype, which is often underrecognized. It is defined as asymmetry of the mouth and lips with grimacing or smiling, but a symmetric appearance at rest. NACF nee...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi Publishing Corporation
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5346394/ https://www.ncbi.nlm.nih.gov/pubmed/28337354 http://dx.doi.org/10.1155/2017/6368239 |
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author | Arya, Shreyas Jain, Sunil K. Richardson, Carol J. |
author_facet | Arya, Shreyas Jain, Sunil K. Richardson, Carol J. |
author_sort | Arya, Shreyas |
collection | PubMed |
description | Facial asymmetry in a crying newborn can be due to a variety of different causes. Neonatal asymmetric crying facies (NACF) is a specific phenotype, which is often underrecognized. It is defined as asymmetry of the mouth and lips with grimacing or smiling, but a symmetric appearance at rest. NACF needs to be differentiated from complete facial palsy in a newborn, which can occur due to traumatic or developmental etiologies. Developmental causes can be present in isolation or may be a part of a recognized syndrome. While asymmetric lower lip depression may be seen in both conditions, complete facial palsy is also associated with upper and mid face deformities. We present a case of NACF and compare it to a case of facial palsy due to perinatal trauma. The purpose of this case series is to clarify some of the confusing nomenclatures and highlight the differences in the physical exam findings, diagnosis, and eventual prognosis of these cases. |
format | Online Article Text |
id | pubmed-5346394 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Hindawi Publishing Corporation |
record_format | MEDLINE/PubMed |
spelling | pubmed-53463942017-03-23 Facial Asymmetry in a Crying Newborn: A Comparison of Two Cases and Review of Literature Arya, Shreyas Jain, Sunil K. Richardson, Carol J. Case Rep Pediatr Case Report Facial asymmetry in a crying newborn can be due to a variety of different causes. Neonatal asymmetric crying facies (NACF) is a specific phenotype, which is often underrecognized. It is defined as asymmetry of the mouth and lips with grimacing or smiling, but a symmetric appearance at rest. NACF needs to be differentiated from complete facial palsy in a newborn, which can occur due to traumatic or developmental etiologies. Developmental causes can be present in isolation or may be a part of a recognized syndrome. While asymmetric lower lip depression may be seen in both conditions, complete facial palsy is also associated with upper and mid face deformities. We present a case of NACF and compare it to a case of facial palsy due to perinatal trauma. The purpose of this case series is to clarify some of the confusing nomenclatures and highlight the differences in the physical exam findings, diagnosis, and eventual prognosis of these cases. Hindawi Publishing Corporation 2017 2017-02-26 /pmc/articles/PMC5346394/ /pubmed/28337354 http://dx.doi.org/10.1155/2017/6368239 Text en Copyright © 2017 Shreyas Arya et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Arya, Shreyas Jain, Sunil K. Richardson, Carol J. Facial Asymmetry in a Crying Newborn: A Comparison of Two Cases and Review of Literature |
title | Facial Asymmetry in a Crying Newborn: A Comparison of Two Cases and Review of Literature |
title_full | Facial Asymmetry in a Crying Newborn: A Comparison of Two Cases and Review of Literature |
title_fullStr | Facial Asymmetry in a Crying Newborn: A Comparison of Two Cases and Review of Literature |
title_full_unstemmed | Facial Asymmetry in a Crying Newborn: A Comparison of Two Cases and Review of Literature |
title_short | Facial Asymmetry in a Crying Newborn: A Comparison of Two Cases and Review of Literature |
title_sort | facial asymmetry in a crying newborn: a comparison of two cases and review of literature |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5346394/ https://www.ncbi.nlm.nih.gov/pubmed/28337354 http://dx.doi.org/10.1155/2017/6368239 |
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