Speech, language and hearing deficits in the Goldenhar syndrome: case report

Revista da Sociedade Brasileira de Fonoaudiologia

Silva, Rafaela Carolina Lopez¹  Alves, Fabiana Faúla da Silva¹  Pontifícia Universidade Católica de Minas Gerais, Belo Horizonte, Brasil¹  Gonzaga Netto, Sírley Soares¹  Silva, Carla Menezes da¹ 

关键词: Goldenhar syndrome/diagnosis;    Mandibulofacial dysostosis;    Facial asymmetry;    Hearing loss;   

DOI  :  10.1590/S1516-80342008000300014

来源: Sociedade Brasileira de Fonoaudiologia

【 摘 要 】

The aim of this study was to report a case and analyze the speech, language and hearing deficits observed in the Goldenhar syndrome. The study reports the case of a male six years, eight months old child diagnosed with Goldenhar syndrome. The history of the patient was carried out, and he was submitted to oral motricity, voice, educational, verbal and written language evaluations, full audiological exam, and computerized vectoeletronistagmography. The following alterations were observed: difficulty in closing the lips, asymmetrical cheeks and eyes, anterior open bite, hypertrophic palatine tonsils, micrognathia, oro-nasal breathing, difficulty with pneumophonic coordination, dental tightness, poor vocal quality with presence of laryngeal tension during phonation, poor auditory abilities, profound bilateral sensory loss, type A tympanometric curve with absence of acoustic reflexes, absence of pathognomonic signs of central alteration on the vestibular test. The patient does not have fluent speech, uses the Brazilian Sign Language, orofacial reading and gestures to communicate, presents reading and writing difficulties and chronologically adequate language development. It can be concluded that it is important to the patient with the Goldenhar syndrome to receive multidisciplinary follow-up, which will provide early diagnosis, adequate intervention and satisfactory global development.

【 授权许可】

Unknown