The Anesthetic Implications of Goldenhar Syndrome: A Case Report

Pallavi Suman¹, Sandip Kumar Rahul^2, Rupesh Keshri³, Sourabh Chandrabhushan Sharma⁴

Keywords: Adolescent, anesthesia, Goldenhar syndrome

DOI: 10.63475/yjm.v5i1.0273

DOI URL: https://doi.org/10.63475/yjm.v5i1.0273

Publish Date: 22-04-2026

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Author Affiliation:

1 Resident, Department of Anesthesiology, Tata Main Hospital, Jamshedpur, Jharkhand, India
2 Additional Professor, Department of Pediatric Surgery, All India Institute of Medical Sciences (AIIMS), Deoghar, Jharkhand, India
3 Assistant Professor, Department of Pediatric Surgery, All India Institute of Medical Sciences (AIIMS), Deoghar, Jharkhand, India
4 Resident, Department of Pediatric Surgery, All India Institute of Medical Sciences (AIIMS), Deoghar, Jharkhand, India

Abstract

Goldenhar syndrome or oculo-auriculo-vertebral spectrum is associated with multiple craniofacial, ocular, auricular, and vertebral anomalies in different combinations. These defects often lead to significant anesthetic challenges, frequently involving airway management, cervical spine instability, and cardiac defects. We present the case of a 14-year-old adolescent female diagnosed with Goldenhar syndrome, exhibiting left-sided auricular appendage, limbal dermoid in the left eye, and hemifacial atrophy with facial asymmetry. She had an excision of the auricular appendage from the preauricular area under general anesthesia. The perioperative anesthetic considerations, challenges, and successful management strategies in such patients are discussed.

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