Atypical Apert syndrome: Sequential and segmental distraction osteogenesis of the skull, midface, and mandible

Abstract

We describe a boy with Apert syndrome, including cranial deformities and syndactyly (acrocephalosyndactyly), though intracranial hypertension, exophthalmos, and midfacial hypoplasia were mild. We treated him by mandibular distraction, in addition to fronto-orbital distraction, and Le Fort III midfacial distraction, with good results.

• Apert syndrome
• obstructive sleep apnoea
• micrognathia
• mandibular distraction
• fronto-orbital distraction
• Le Fort III midfacial distraction