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Goldenhar Syndrome: Shaikha’s Story

Goldenhar Syndrome: Shaikha’s Story

Goldenhar Syndrome: Shaikha’s Story

Shaikha smile

In the seventeen years of Shaikha’s life, she has spent an exceptional amount of time undergoing medical procedures. “By the age of 11, I already had 19 surgeries,” she explains. “I've had 25 surgeries in total.” 

The surgeries started just months after she was born with Goldenhar syndrome, a rare condition that causes underdevelopment on one side of the body, mostly on the face. “Goldenhar includes a spectrum,” says Jesse Taylor, MD, Chief of the Division of Plastic, Reconstructive and Oral Surgery and Co-Director of the Craniofacial Program and the Cleft Lip and Palate Program at Children's Hospital of Philadelphia (CHOP). “It ranges from mild forms of facial asymmetry all the way to a very severe form of asymmetry that can include the eye, jaw, ear, collarbone, and sometimes some spinal differences or kidney differences.” Shaikha’s case fell on the severe side of the spectrum. 

After being born in the United Arab Emirates, Shaikha and her parents traveled to the United Kingdom for care and treatment. That’s where she began her journey of surgeries.   

“She had a cleft lip on the left side, and she was missing the left side of her jaw,” her mother, Alia, says. “She had many complications in her breathing at an early age.” Shaikha’s mouth would often stay open, and her tongue would fall back, obstructing her airway. At times she would inhale liquid into her lungs. The condition also affected her kidneys. “She couldn’t swallow food until she was almost 9,” says Alia. “She had so many things. They were fixing them step by step.”  

In 2013, Shaikha’s care was transferred to doctors in South Korea, and she had several more surgeries there. She subsequently went to Washington, DC, but the doctor who began treating her retired after a few months. “He advised us to go to CHOP,” says Alia.  

  • Shaikha: I was like going around at CHOP and had a lot of like campuses and like paint and brushes and I was like, let me try something new since I have a free time. I found this picture and I was like, let me try to copy this, and I did it and I was like, cool, I can paint. And that really helps. Like I've done like, in the past seven months, I've done more than 30 paintings. My name is Shaikha and I am 16 years old. 

    Shaikha's mom: Shaikha born in 2007. Yeah. She was not alone. She was with her twin Aysha as well. When I was pregnant, I had so many complications, but no one mentioned to me that your babies has little problems.

    Like Shaikha has this problem, Goldenhar syndrome. Because of the missing of the left side jaw, the lower jaw, she was having, like the tongue little bit back, which is closing the airway, and it was making the problem of the recurrent sleeping apnea and also the apnea when she was also awake. 

    Shaikha: I've had 25 surgeries in total, but by the age of 11, I had already 19 surgeries.

    Clinician: Still good?

    Hyun-Duck Nah, DMD, MSD, PhD: Um, this is where we are starting, the lower jaw, the chin, it just shift to her right side. 

    Shaikha: Okay. 

    Hyun-Duck Nah, DMD, MSD, PhD: And then also upper jaw is shifted to that side. Because the length, when she smiles, it shows a lot of gum tissue. So it's gonna be pushed up, particularly the front part of it's gonna be pushed up. And that will be able to close the mouth much easier. 

    Shaikha's mom: I said now, you are very special Shaikha with this shape of face, now we will go to normal person. As everyone, you'll not be unique that like before. 

    Shaikha: No, I'm always unique. Yeah. I'm actually, actually, I'm excited because like the result is gonna be like a dream come true.

    So I'm happy, like, I'm glad I've seen this.

    Jesse A. Taylor, MD: Good to see you. How are you? You ready? Are you ready? You're the start of the show right here.

    Shaikha's mom: She's excited, doctor.

    Shaikha: I'm always ready. 

    Jesse A. Taylor, MD: You're gonna do great. Yeah, you're gonna do great. Shaikha's got Goldenhar syndrome, has got a significant amount of facial asymmetry, and along with the facial asymmetry comes asymmetry of a lot of features of the face, like the nose, like the mouth, like the cheeks.

    And because of the nasal asymmetry, her nose was kicked off to the left side of her face. We're gonna try to make the nose straight, get her breathing through the nose as well as possible, and then, make it as symmetric as we can. I get very excited about surgery. You probably know that, but I am really, really excited about this surgery because I feel like we have a really good plan and she's such an amazing young woman that I just, I feel lucky to be a part of her life a little bit, so.

    Shaikha: Mm-hmm. 

    Jesse A. Taylor, MD: Okay. 

    Shaikha's mom: She's is strong.

    Jesse A. Taylor, MD: She is strong. 

    Shaikha: Yeah.

    Every time I go in, even if I was, let's say in pain or for any surgery, I would go in and I'd come back with a huge smile knowing there's, there's an end to all of this. After every long journey, there's always gonna be a happy point. So that's why I love, I love visiting them.

    Shaikha's mom: They give her hope, always.

    Jesse A. Taylor, MD: You know, you meet her and you see that she has a difference in her appearance, but then when you talk with her, you say to yourself, this is one of the brightest young people I've met. And so the fact that she and her family were willing to make the investment to come to Philadelphia for a prolonged period of time to go through orthodontics, followed by jaw surgery, followed by this surgery today, uh, really meant a lot to me.

    She's going places. I can't wait to see what she does in this world. 

    Shaikha: This past time when I came to America for this journey, I spent 125 days and which is like seven months in a week, and I can't wait to go home. 

    Shaikha's mom: I love in her how, how is she's like grateful for everything, uh, how she's optimistic.

    She's always positive. She has a confidence. 

    Shaikha: I wanna be a nurse. Like when I was born, they didn't even know what was the name of my case, and I don't want people to struggle with that. I want everyone to know that Goldenhar syndrome could happen to anyone. So yeah, that's, that's what, that's my main goal in life.

    That's what I want to show people.

Transcript Transcript

‘There’s an end to all this’ 

At CHOP, Shaikha was primarily seen by Dr. Taylor and Hyun-Duck Nah, DMD, MSD, PhD, the Director of Craniofacial Orthodontics. “I love Dr. Nah. I love Dr. Taylor,” Shaikha enthuses. “Every time I go to them, even if I was, let’s say, in pain, I would come back with a huge smile — knowing there’s an end to all this.”  

Alia: “They always gave her hope.”  

Shaikha’s surgeries at CHOP began with tooth extractions. Next was jaw distraction surgery, which involves the insertion of devices into the jaw to lengthen the jawbone and further open the airway.  

“It was pretty tough, but I got through it,” Shaikha reports of the jaw distraction process. 

Alia: “After the distraction surgery, we really saw the big difference. It made her breathe easier.” 

In March 2024, she underwent what she describes as “the huge surgery” on her jaw. “I was pretty nervous about it,” she admits. 

Orthodontics plus plastic surgery 

Shaikha

“Doing jaw surgery is always very coordinated — I call it a coordinated dance between orthodontics and the surgeon,” Dr. Taylor says. “Both parties are equally important. Orthodontic care before jaw surgery takes close to a year. What we're doing is getting the teeth to fit together when we do the surgery. To put it a different way, orthodontists move teeth within bone, surgeons move bone. Dr. Nah and I talk to each other on almost a daily basis. I know what she's thinking. She knows what I'm thinking. And that's how it's got to be to get a good result.”  

Shaikha’s judgment on the jaw surgery? “I had a hard time at first, especially with eating. But I am so satisfied with the results.” 

Saying that she merely had “a hard time” after such a major complex surgery is clearly an understatement — but this is typical of Shaikha’s attitude, according to her mother: “She’s always choosing the positive side of the story. She’s not mentioning the pain or how many stitches she had. She is grateful for everything. She’s always positive. She has strong energy and confidence.”  

Dr. Taylor agrees. “I'm really excited that I've gotten to know Shaikha over the years. She's an incredibly intelligent and engaging young woman. The fact that she and her family were willing to make the investment to come to Philadelphia for a prolonged period of time to go through orthodontics, followed by jaw surgery, followed by another surgery to fix the asymmetry of her nose and cheek, really meant a lot to me because I knew I had a picture in my mind's eye of what we could do for Shaikha.” 

Shaikha and her family have returned to the United Arab Emirates. While her favorite hobby is writing — “Poems, diaries, stories, I write everything” — she is thinking of making nursing a career. “As a kid, I thought I would never go into anything related to the medical field. But now I feel like this is fascinating. I mean, I’ve been through a lot, and I would understand how anyone would feel.” 

In the meantime, she’s happy to share her story. “I want to let anyone with Goldenhar syndrome know that everything is going to get better if you wait and stay optimistic,” she says. “This is a long journey, but it’s going to turn out great if you trust the process.” 

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