To the Editor.
—In his otherwise excellent letter comparing Goldenhar and Wildervanck syndromes, Coyle1 stated, "Wildervanck syndrome does not appear to be associated with epibulbar dermoids." I would like to offer the following comments.The cervico-oculo-acoustic syndrome was described in 1960 by Wildervanck2 and consists of perceptive deafness, Klippel-Feil syndrome, and Duane's syndrome. Occasionally, an epibulbar dermoid is seen, first documented by Wildervanck et al.3 In 1966, these authors stated that of the 51 cases found in the literature, only four were men. That Goldenhar's and the cervico-oculo-acoustic syndrome overlap can be seen in the multiple cases of Goldenhar's syndrome with Duane's syndrome and in our case 1.4 Conversely, the cervico-oculoacoustic syndrome occasionally presents with epibulbar dermoids, unilateral facial bone hypoplasia, cleft palate, and abnormalities of the pinna.5 It is interesting to note that thalidomide has been implicated in producing a combination of congenital anomalies
Baum JL. Goldenhar's Syndrome. Arch Ophthalmol. 1992;110(6):750. doi:10.1001/archopht.1992.01080180020005
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