Non-Syndromal Hemifacial Microsomia in Two Iraqi Children.

Hemifacial microsomia is a rare congenital, heterogeneous malformation disorder affecting predominantly unilateral face and involving head malformations mainly in the region of the first and second branchial arch and varying associated malformations. The disorder is associated with unusual strange distortion of the face with facial asymmetry and may cause psychological problems in the affected child and even the parents.Hemifacial microsomia is best managed by a multidisciplinary team including the otolaryngologist, audiologist, plastic surgeon and temporal bone radiologist. However, physicians working in many geographic areas of the world lacking active effective multidisciplinary teams and major craniofacial centers, will face a serious challenge and a tough time in making the appropriate referrals which ensure satisfactory management. The complexity of the defects in this condition, the potentially non-static nature of the condition and the lack of extensive management experiences with such rare condition make management challenging even when the appropriate timely referrals can be ensured.The aim of this paper is to report the occurrence of non-syndromal hemifacial microsomia in two unrelated Iraqi children for the first time.