Dental and Medical Problems

Dent. Med. Probl.
Index Copernicus (ICV 2019) – 118.76
MNiSW – 20
CiteScore (2020) – 1.2
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ISSN 1644-387X (print)
ISSN 2300-9020 (online)
Periodicity – quarterly

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Dental and Medical Problems

2018, vol. 55, nr 2, April-June, p. 217–225

doi: 10.17219/dmp/91050

Publication type: clinical case

Language: English

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Saethre-Chotzen syndrome: Case report and literature review

Zespół Saethrego-Chotzena – opis przypadku i przegląd piśmiennictwa

Anna Pelc1,A,B,C,D, Marcin Mikulewicz1,C,D,E,F

1 Department of Maxillofacial Orthopaedics and Orthodontics, Division of Facial Abnormalities, Wroclaw Medical University, Poland

Abstract

Saethre-Chotzen syndrome (SCS) belongs to a group of rare congenital disorders connected with craniosynostosis and syndactyly. The purpose of this paper is to provide a review of the literature, to collect all reported symptoms and to describe the case of an 11-year-old female with SCS. The electronic databases PubMed and Scopus were searched to gain all symptoms of SCS described in the literature. The most common features of SCS described in the literature are synostosis of the coronal suture, syndactyly, facial asymmetry, low hairline, prominent ear crus, prominent nasal bridge, eyelid ptosis, and ocular hypertelorism. Less common symptoms include hearing loss, renal abnormalities and cardiac defects. Intraoral manifestations of SCS include maxillary hypoplasia, mandibular prognathism and high arched palate. Moreover, in some patients mental disability is observed, which may be connected with the size of the deletion in the Twist gene. There are no pathognomonic symptoms of SCS, which would indicate a diagnostic problem. Our patient displayed small dysmorphic changes within the skull and limbs and proper intellectual development. On the basis of an intraoral, extraoral examination and X-rays, she was diagnosed with relative mandibular prognathism. Currently, she is treated with a removable appliance. This report emphasizes a considerable variability of symptoms in SCS and highlights the most common features.

Key words

craniosynostosis, Saethre-Chotzen syndrome, acrocephalosyndactyly, acrocephalosyndactyly type 3

Słowa kluczowe

kraniosynostoza, zespół Saethrego-Chotzena, akrocefalosyndaktylia, akrocefalosyndaktylia typu III

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