Asymmetric crying facies – its meaning in the differential diagnosis of congenital developmental abnormalities

Agata Michalska; Katarzyna Połatyńska; Łukasz Kępczyński; Maciej Szczukocki

doi:10.5114/ms.2019.91249

eISSN: 2300-6722
ISSN: 1899-1874

Medical Studies/Studia Medyczne

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4/2019
vol. 35

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abstract:

Review paper

Asymmetric crying facies – its meaning in the differential diagnosis of congenital developmental abnormalities

Agata Michalska

¹

,

Katarzyna Połatyńska

²

,

Łukasz Kępczyński

³

,

Maciej Szczukocki

⁴

Departament of Physiotherapy, Collegium Medicum, Jan Kochanowski University, Kielce, Poland
Departament of Neurology, Polish Mother’s Memorial Hospital Research, Lodz, Poland
Department of Genetics, Polish Mother’s Memorial Hospital Research, Lodz, Poland
Departament of Pediatric and Pediatric Surgery, Collegium Medicum, Jan Kochanowski University, Kielce, Poland

Medical Studies/Studia Medyczne 2019; 35 (4): 312–318

DOI: https://doi.org/10.5114/ms.2019.91249

Online publish date: 2019/12/30

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The symmetry of a newborn baby’s head and face, including the symmetry of a palpebral fissure, auricles, nose, and the movement of eyelids and mouth, is evaluated during a newborn baby’s overall examination. Asymmetric crying facies (ACF) is a congenital disorder resulting from unilateral hypoplasia, or from agenesis of the depressor anguli oris muscle or rarely of the depressor of the edge of the mouth and depressor of labii inferioris. The ACF incidence rate oscillates at about 0.3%, with the dominance of a left-handed disorder. Isolated ACF is treated as a cosmetic defect, although it can accompany a wide range of developmental disorders, the most common of which is congenital facial nerve palsy. In every case, a profound morphological and anatomical evaluation should be executed because, if necessary, the molecular analysis should be widened.

keywords:

Asymmetric crying facies – its meaning in the differential diagnosis of congenital developmental abnormalities

Agata Michalska 1 , Katarzyna Połatyńska 2 , Łukasz Kępczyński 3 , Maciej Szczukocki 4

differential diagnosis, face asymmetry, asymmetric crying facies (ACF)

Agata Michalska

¹

,

Katarzyna Połatyńska

²

,

Łukasz Kępczyński

³

,

Maciej Szczukocki

⁴