Mm. Cohen et S. Kreiborg, A CLINICAL-STUDY OF THE CRANIOFACIAL FEATURES IN APERT SYNDROME, International journal of oral and maxillofacial surgery, 25(1), 1996, pp. 45-53
A clinical study of the craniofacial features in Apert syndrome is bas
ed on our experience with 136 cases. Characteristics included hyperacr
obrachycephaly, steep wide forehead, flat occiput, common craniofacial
asymmetry, ocular hypertelorism and proptosis, downslanting palpebral
fissures, divergent upgaze and esotropic downgaze, a tendency towards
large ears, and marked depression of the nasal bridge. The nose is sh
ort and wide with a bulbous tip, and the anterior facial height is red
uced. Common features during infancy included horizontal grooves above
the supraorbital ridges that disappear with age, a break in the conti
nuity of the eyebrows, and a trapezoidal-shaped mouth at rest. Radiogr
aphic aspects of Apert syndrome were also assessed. Tables are provide
d which compare the craniofacial features of Apert and Crouzon syndrom
es.