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| COMMENTARY |
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| Year : 2014 | Volume
: 7
| Issue : 1 | Page : 94-95 |
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Apert's syndrome: Catch them young
Yadavalli Guruprasad
Department of Oral and Maxillofacial Surgery, AME'S Dental College Hospital and Research Centre, Raichur, Karnataka, India
| Date of Web Publication | 10-Dec-2013 |
Correspondence Address:
Yadavalli Guruprasad
Department of Oral and Maxillofacial Surgery, AME'S Dental College Hospital and Research Centre, Raichur - 584 103, Karnataka
India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/0975-2870.122801
How to cite this article:
Guruprasad Y. Apert's syndrome: Catch them young. Med J DY Patil Univ 2014;7:94-5 |
The publishing of the article "An unusual complication after craniofacial surgery for Apert's syndrome" brings into focus of several factors like proper diagnosis and early management of craniofacial deformities. Multidisciplinary approach is absolutely essential to manage any craniofacial deformities which requires contributions from different specialties like pediatrics, neurosurgery, plastic surgery, maxillofacial surgery, otolaryngology, ophthalmology and dentofacial orthopedics followed by speech therapy. Managing craniofacial deformities should be started as early as possible keeping growth aspect which plays a vital role in staged surgical approach.
Apert's syndrome is characterized by craniosynostosis, exorbitism, midface hypoplasia, and symmetrical syndactyly of both hand and feet.[1] Staged surgical approach is followed as early (4-12 months) for suture release, cranial vault decompression, and upper orbital advancement/reshaping and those that are performed at a later stage (4-12 years) for midface deformities and jaw surgeries (14-18 years).[2] Midface advancement should be carried out in childhood considering second advancement after completion of mandibular growth. Midface advancement is performed by using distraction osteogenesis to reduce the complications of relapse, blood loss and infection and the results are much favorable in childhood.[2],[3] With the revolution of latest techniques in craniofacial surgery like distraction osteogenesis better results can be obtained thus reducing the mental trauma both for the child and parents.
| References | |  |
| 1. | Upadhyaya V, Upadhyaya DN, Sarkar S. Apert's syndrome - A case report. Indian J Radiol Imaging 2005;15:477-80. 
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| 2. | Anantheswar YN, Venkataramana NK. Pediatric craniofacial surgery for craniosynostosis: Our experience and current concepts: Part-1. J Pediatr Neurosci 2009;4:86-99.
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| 3. | Anantheswar YN, Venkataramana NK. Pediatric craniofacial surgery for craniosynostosis: Our experience and current concepts: Parts-2. J Pediatr Neurosci 2009;4:100-7.
[PUBMED] |
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