This document reports on a case study of an 8-year-old male child diagnosed with Goldenhar syndrome. Goldenhar syndrome is a rare birth defect affecting the development of structures derived from the first and second branchial arches. The child presented with a dermolipoma (fatty growth) in his right eye, preauricular tags on both ears, and facial asymmetry. Examination found no other abnormalities. The dermolipoma was excised and the case highlights the need for multidisciplinary care of patients with Goldenhar syndrome to monitor development.

1. GOLDENHAR SYNDROME-
A CASE REPORT
By Dr. Sonali Ashok Bhosale
(Junior resident ,Dr V.M.Government medical
college, solapur )

2. INTRODUCTION
 Goldenhar syndrome is a birth defect
resulting from the maldevelopment of the first
two branchial arches with incomplete
development of the ear, nose, soft palate, lip
and mandible.
 It is unilateral in 70-80% of the cases
 Prevalence rate is 1-9/per 100000 and
 Incidence rate is 1 per 25000-45000 births
 Male is more commonly affected than the
female (ratio 2:1).

3.  Ocular anomalies occur in about 50% of
the cases.
 Epibulbar dermoid and lipodermoid are
the most common.
 Limbal dermoid or lipodermoid are
mainly located in the inferotemporal
region of the eye.
 Coloboma of the upper eyelid may be
present.

4.  Extraocular defects are reported in 65%
of the cases and include
 Pre-auricular tags, microtia, anotia,
conductive hearing loss.
 Vertebral anomalies are combination of
hemivertebra, fused ribs, kyphosis and
scoliosis.
 Additional features such as cardiac,
genito-urinary and pulmonary systems
can also be affected.

5. Case report
 An 8 years old male child
reported at the outpatient
department of
Ophthalmology,
DrVMgovernment
medical college,
solapur,on 15 march
2016 with complains of
-swelling of the lower and
outer part of eye
-yellowish pink swelling in
the outer part of the right
eye
-associated with
preauricular tags,
hemifacial asymmetry.

6.  Ocular examination revealed
-a smooth and soft mass in
the temporal side of right eye
-posterior limit of which could
not be seen.
-From above downwards it
was extending from the
superior to the inferior fornix.

7. On palpation -It was found to be soft,
nontender and its temperature was not
raised
-It could be moved over the underlying
structure and conjunctiva over it could
also be moved.
 His visual acuity was 6/6 in both eyes.
 The rest of anterior segment was normal
 Fundoscopic examination was found
normal.
 Left eye was normal.

8.  The clinical diagnosis was
Dermolipoma, which was confirmed by a
histological examination of an excised
portion.

9. ENT examination revealed preauricular
tags present in both ears

10.  No other abnormalities were detected.
 Systemic examination like cardiovascular,
pulmonary and genito-urinary systems was
done but no abnormalities were detected.
 The laboratory investigations were within
normal limits.
 Electrocardiography was normal,
 X-ray chest (postero anterior view) showed
nothing abnormality detected,
 X-ray of the vertebral column was normal.

11.  Complete excision of
the lipodermoid was
achieved.

12. Conclusion
 This case has been presented to
increase the awareness of this rare
entity.
 To highlight the clinical findings and
association with various systemic
conditions.
 Multidisciplinary treatment approach
and long term follow up is required to
monitor the growth and development of
such patients.