craniofacial syndromes Flashcards
ear anomalies, epibulbar dermoids, facial and mandibular hypoplasia, and vertebral anomalies.
Goldenhar syndrome (oculoauriculovertebral dysplasia)
IRF6 gene mutation in chromosome 1
van der Woude
Hypodontia (as high as 86%), high arched palate, lip pits, syngnathia, and ankyloglossia; Autosomal dominant
van der Woude
polyostotic fibrous dysplasia, precocious puberty, and café-au-lait spots
McCune-Albright
Cardiac abnormalities, renal issues, immune deficiencies, speech and feeding delays, mental health issues, developmental delay, cleft palate, and calcium regulation disturbances
22q11.2 deletion
retrognathia, glossoptosis
Pierre-Robin sequence
FGFR2
Apert
TCOF
Treacher-Collins
mandibular dysostosis, hypoplasia of the zygoma, maxilla, and mandible, downward slanting of the palpebral fissures, colobomas of the lower eyelids, absence of eyelashes, and auricular defects.
Treacher-Collins
22q11.2 deletion
DiGeorge syndrome, velocardiofacial syndrome, and Shprintzen syndrome
bicoronal craniosynostosis leading to turribrachycephaly, mid face hypoplasia, and complex hand and foot syndactyly
Apert
autosomal dominant disorder, craniosynostosis involving the coronal, sagittal, and lambdoid sutures, as well as turribrachycephaly. mid face hypoplasia, exorbitism, and proptosis
Crouzon
Hemifacial atrophy; depressed linear scar extending down through the mid face on the affected side “coup de sabre”
Romberg syndrome
Ranges from mild facial asymmetry and microtia to a severe asymmetry of the orbit and mid and lower faces. Vertebral, cardiac, and renal malformations, VPI
Hemifacial microsomia
atypical bone development and skin overgrowth
proteus syndrome
Congenital fusion of any two of the seven cervical vertebrae.short neck, low occipital hairline, and restricted mobility of the upper spine
Klippel-Feil syndrome
incomplete merging of the mandibular and maxillary prominences of the first pharyngeal arch
Tessier cleft #7
left palate, velopharyngeal insufficiency, and cardiac abnormalities. Abnormal facial features associated with this syndrome include a broad, prominent nose, malar flattening, epicanthal folds, retrognathia, and vertical maxillary excess.
velocardiofacial syndrome
tessier clefts
#1-4 medial to infraorbital nerve #5-6 lateral to infraorbital nerve #7 lateral mouth #8 lateral eye #9-13 upper eyelid #14 upper midline face
Cleft palate syndromes
Apert, Treacher-Collins, Stickler
failure of fusion of the maxillary and medial nasal process
cleft lip
Failure of fusion of the medial nasal process with the maxillary prominence on both sides
bilateral cleft lip
failure of fusion of lateral palatine process and medial palatine process
complete unilateral cleft palate