A dental and facial anomaly not previously reported with VACTERL association: report of case.

A case of VACTERL association has been presented in conjunction with possible hemifacial microsomia and fused teeth. Although the etiology of VACTERL association and hemifacial microsomia is unclear, the similarity of symptoms would suggest a common cause. A retrospective study of patients previously diagnosed with VACTERL association might reveal additional symptoms of dental and/or facial anomalies and warrant changing the acronym to VACTERL-DF in recognition of these dentofacial findings.