Saethre-Chotzen syndrome is an autosomal acrocephalosyndactyly syndrome who
se gene has been assigned to chromosome 7p (TWIST). A case of a 13-year-old
girl with Saethre-Chotzen syndrome (ACS III) is described. The features of
the syndrome include: turriplagiocephaly with a cranial circumference of 5
2 cm, facial asymmetry, low hairline proptosis, antimongoloid slanting of p
alpebral fissures, nasal deviation with high bridge, angled ears, scoliosis
and torticollis, clinodactyly of the fourth and fifth toes, large halluxes
, and neurosensorial hypoacusia. For correction of the deformity, a cranioo
rbital remodelling was performed. The craniofacial approach with remodellin
g of the frontal bar and reduction of the turricephaly resulted in a satisf
actory morphological and functional outcome, with complete three-dimensiona
l reshaping and remodelling of the frontonasoorbital area.