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Congenital unilateral hypoplasia of depressor anguli oris is a congenital anomaly, characterized by the unilateral hypoplasia/agenesis of the depressor anguli oris muscle, resulting in an asymmetric crying facies in neonatal period/ infancy (drooping of one corner of the mouth during crying) while eye closure, nasolabial fold and forehead wrinkling are symmetric. While it can be isolated, this anomaly is also seen in 22q11.2 deletion syndrome and can be accompanied by other major congenital anomalies of the cardiovascular system, as well as less frequently the musculoskeletal, cervicofacial, respiratory, genitourinary, and, rarely, endocrine systems. When isolated, the condition is cosmetically insignificant as the infant gets older (as the muscle does not contribute significantly to facial expression in childhood/ adulthood).
Features include: Ventricular septal defect, Tetralogy of Fallot, Asymmetric crying face, and Patent ductus arteriosus.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Heart and blood vessels | 1 | Ventricular septal defect |
Head and neck |
Estimated prevalence: Unknown (Unknown prevalence).
No clinical trials have been registered for congenital unilateral hypoplasia of depressor anguli oris.
5 publications have been identified in PubMed for congenital unilateral hypoplasia of depressor anguli oris. Research spans Case Report / Case Series (100%).
Vasudeva A (2025). [PMID: 40034619](https://pubmed.ncbi.nlm.nih.gov/40034619/). *Cureus*. [Case Report / Case Series]
Mazhari MYA (2025). [PMID: 40828504](https://pubmed.ncbi.nlm.nih.gov/40828504/). *Indian journal of pediatrics*. [Case Report / Case Series]
Arora GK (2025). [PMID: 40070734](https://pubmed.ncbi.nlm.nih.gov/40070734/). *Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India*. [Case Report / Case Series]
Delgado J (2024). [PMID: 39791075](https://pubmed.ncbi.nlm.nih.gov/39791075/). *Cureus*. [Case Report / Case Series]
Data assembled from 5 of 12 sources · Last updated Sep 20, 2026, 11:34 PM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
1
Asymmetric crying face |