A 13-year-old girl presented with tooth pain in the upper left region of the mouth. She reported pain on chewing, although there was no tenderness. She complained of frequent sore throat, cough, middle ear infections, and difficulty in hearing. Patient history Her medical history revealed that she suffered from ductus arteriosus, which was surgically closed when she was six-year-old. She also had a history of shortness of breath and dyspnea. The patient had a malformation of the right tragus for which she was operated four years ago.
She also suffered from brachial arch syndrome and had a malformation of the right sternocleidomastoid, which restricted her neck movement. The girl was born full-term, and her family history was unremarkable. Physical examination The patient appeared very thin and slender. Her body weight measured less than average for her age and sex. She had…
