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Hemifacial microsomia Hemifacial Microsomia Characteristics • Hemi = half, although present in bilateral condition in up to 15%-16% of cases • Unilateral or bilateral underdev of mandible • Unilateral or bilateral underdev/malformations of ear (microtia, ear tags, etc) • Unilateral or bilateral reduction in size and flattening of maxilla • Narrowing of the opening of the eye Causes: thought caused by hemorrhage from artery that produces hematoma in area of branchial arches (head, neck area dev from branchial arches). Occurs during first 6-8 weeks of pregnancy. • Inheritance: sporadic; reports of familial cases. May be auto dominant, auto recessive, or multifactorial.