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Apert syndrome: an informative long-term dentofacial outcome
Peter Fowler1,2, Shirleen Hallang3, Leslie Snape4
1Orthodontic Department, University of Bristol School of Oral and Dental Sciences, Bristol, UK Peter.Fowler@bristol.ac.uk.
BMJ Case Reports
|March 3, 2022
Summary
Apert syndrome (AS) management is complex, requiring multidisciplinary teams for craniosynostosis and syndactyly. Understanding AS impacts improves clinical care and patient psychosocial support.
Area of Science:
- Genetics and Developmental Biology
- Craniofacial Surgery
- Pediatric Medicine
Background:
- Apert syndrome (AS) is a genetic disorder characterized by premature fusion of cranial sutures, leading to craniocerebral disproportion and syndactyly.
- This multisystem disease presents significant challenges in management, including raised intracranial pressure, ophthalmic issues, and airway compromise.
- Treatment requires a multidisciplinary approach throughout a patient's life, from infancy to adulthood.
Observation:
- Early surgical interventions address critical issues like increased intracranial pressure and airway obstruction.
- Childhood management often focuses on psychosocial development, while adult interventions prioritize cosmetic concerns.
- Long-term follow-up is essential for monitoring dentofacial outcomes and overall well-being.
Findings:
- This case report reviews the etiology, surgical and non-surgical management pathways, and long-term dentofacial outcomes in Apert syndrome.
- Multidisciplinary team (MDT) members play a crucial role in providing comprehensive, patient-centered care.
- Improved understanding of AS impacts enhances both clinical treatment and patient experience.
Implications:
- Enhanced awareness of AS and its treatment facilitates better clinical decision-making.
- Addressing the psychosocial challenges faced by patients with craniofacial anomalies is vital for improving their quality of life.
- Optimizing the collaborative efforts of MDTs can lead to superior outcomes for individuals with Apert syndrome.

