Neurologist report for 7 yr old says she has flat mid facies. what is flat mid facies? ent doctor checking to see if adenoids have grown back? head circumference is 53.8 cm. is that normal for her age?

Flat mid facies means flat midface in lay term. A 53.8 cm head circumference for a 7 year-old-girl is at + 2 standard deviation of a mean size, i.e. your girl's head is big but not quite out of normal size. Your daughter has been evaluated by several specialists so you should pose these questions to the specialists.

The face of humans' changes over time with infants being somewhat flat forehead to chin. As they age, the midsection, primarily the nose and supportive structures enlarge and project forward. There are some conditions where the flat midface is part of a medical condition. By itself, at that age, I cannot list this as a bad thing. You should discuss the label with your doctor.