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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...

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Detalles Bibliográficos
Autores principales: Arya, Shreyas, Jain, Sunil K., Richardson, Carol J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2017
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.
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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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