Article Text

Download PDFPDF
Apert syndrome: an informative long-term dentofacial outcome
  1. Peter Fowler1,2,
  2. Shirleen Hallang3 and
  3. Leslie Snape4
  1. 1Orthodontic Department, University of Bristol School of Oral and Dental Sciences, Bristol, UK
  2. 2Orthodontic Department, University of Bristol Dental Hospital, Bristol, UK
  3. 3University of Bristol Dental Hospital, Bristol, UK
  4. 4Canterbury Oral and Maxillofacial Surgery, Christchurch, Canterbury, New Zealand
  1. Correspondence to Dr Peter Fowler; Peter.Fowler{at}


The management of patients with Apert syndrome (AS) is complex and reflects the multisystem disease as a result of premature fusion of cranial vault, cranial base and midface sutures as well as extremity anomalies characterised by syndactyly. Early cranial sutural fusion results in craniocerebral disproportion which can lead to crisis surgical intervention due to raised intracranial pressure, ophthalmic and compromised airway concerns. Childhood inventions are often determined by psychosocial concerns and adult surgical interventions are often determined by cosmetic concerns. Treatments are provided by many different specialists within multidisciplinary teams (MDT). The treatment pathway extends from birth well into adulthood and is often associated with a heavy burden of care. Due to the extensive nature of the interaction with these patients MDT members have opportunities to provide enhanced patient-centred care and support.

This case report provides an overview of the current knowledge of the aetiology of AS, illustrates the pathway of surgical and non-surgical management of AS and provides a long-term review of the dentofacial treatment outcomes.

By having a better understanding of the impact of AS and treatment provided, MDT members can not only provide improved clinical treatment but also offer improved patient experiences for those with craniofacial anomalies, in particular, an increased awareness of the psychosocial challenges they endure.

  • oral and maxillofacial surgery
  • dentistry and oral medicine
  • plastic and reconstructive surgery

Statistics from


  • Contributors PF was responsible for the conception, design, drafting, revision and final approval of the submitted manuscript. SH was responsible for the background, drafting, revisions and approval of the submitted manuscript. LS was responsible for the design, drafting, revision and approval of the submitted manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.