Neonate with a Large Facial Swelling

A full-term male newborn presents with a large hemifacial swelling extending from the frontal region to the mandibular region, encroaching on the orbit and displacing the pinna. (Figs 1 and 2) Figure 1. Large hemifacial swelling on the right side of the face displacing the pinna. Figure 2. Swelling encroaching on the orbit. ### Prenatal and Birth Histories ### Presentation At birth, the infant was noted to have a hemifacial swelling over the right temporal area. Investigations showed persistent thrombocytopenia, and the lowest platelet count was 51 × 103/μL (51 × 109/L). No platelet transfusion was required before transfer. The infant was referred 9 days after birth to our institution for further management. ### Vital Signs (Day 9) ### Physical Examination (Day 9)