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Romberg's syndrome: a series of cases

BACKGROUND: The Romberg's syndrome is a disease that was first described more than a century ago, and during this period had several names. It is characterized by a slow and progressive atrophy of the tissues of a hemiface, can affect all tissues and can also display neurological and ocular manifestations. The aim of this study is to report a series of patients with progressive hemifacial atrophy, addressing treatment options for each individual case. METHODS: Was conducted a retrospective, descriptive and analytic study of the patients treated in our service, Plastic Surgery at the Hospital de Clinicas - Universidade Federal do Paraná, and the Centro de Atendimento Integral ao Fissurado Lábio Palatal (CAIF), at Curitiba, PR, Brazil. RESULTS: Were analyzed 13 patients, 10 (76.9%) female and 3 (23.1%) male. The age of onset of symptoms ranged from 2 to 15 years. The first medical consultation with an specialist occurred at 11.7 years. The left hemiface was most commonly affected. Seven (53.8%) patients underwent surgery. CONCLUSIONS: The Romberg's syndrome is a rare disorder, devastating to facial appearance, and it has been widely studied. Despite great advances in medicine, its etiology definition and the treatment directed to its cause is still only a wish.

Facial hemiatrophy; Face; Reconstructive surgical procedures


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