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apert syndrome: quality of life

apert syndrome: quality of life

Rehabilitation can increase children and their parent's quality of life. He has many aspects of Apert syndrome but no cardiac disorder. METHODS: Thirty-three patients with Apert syndrome born before 1990 were identified in the Göteborg craniofacial registry. Apert syndrome is a complex craniofacial deformity with a broad clinical spectrum that mainly affects the craniofacial skeleton, lower and upper limbs. Epub 2014 Jan 11. Apert syndrome: review and report a case. Apert syndrome is a complex craniofacial deformity with a broad clinical spectrum that mainly affects the craniofacial skeleton, lower and upper limbs. Get the latest public health information from CDC: https://www.coronavirus.gov, Get the latest research information from NIH: https://www.nih.gov/coronavirus, Find NCBI SARS-CoV-2 literature, sequence, and clinical content: https://www.ncbi.nlm.nih.gov/sars-cov-2/. Epub 2016 May 12. One of the problems associated with Apert Syndrome is the presence of syndactyly, the fusion of two or more digits both on the hands and the feet. Apert syndrome is a genetic disorder caused by the premature fusion of the sutures in the skull bones, which prevents the skull from growing normally. Please enable it to take advantage of the complete set of features! 2020 Aug;8(8):e1266. Sunken appearance of the face 2.  |  2012 Jul;23(4):1104-8. doi: 10.1097/SCS.0b013e318258814a. Clipboard, Search History, and several other advanced features are temporarily unavailable. If a child is born with Apert syndrome, immediate diagnosis and treatment is essential, as cutting-edge treatments are available to correct components of this condition and can provide your child with the best possible quality of life. Raposo-Amaral CE, Neto JG, Denadai R, Raposo-Amaral CM, Raposo-Amaral CA. Apert syndrome has a broad clinical spectrum, including complex craniofacial involvement, as well as limiting deformities of the hands, feet, and other joints that require multiple surgical procedures when compared with Crouzon syndrome, which is generally less severe. NIH Apert syndrome is therefore an autosomal dominantgenetic disorder, meaning only one copy of a 'bad' gene, or one flat tire, is need… 1998 Dec;56(6):339-41. doi: 10.1080/000163598428275. 2012 Mar;49(2):185-93. doi: 10.1597/10-021. Apert syndrome is a genetic condition, caused by a mutation (change) on a specific gene. doi: 10.1097/01.prs.0000437260.31693.75.  |  Webbed fingers (syndactyly) in Apert Syndrome is one of the distinguishing features which can affect the quality of the patient’s life, both emotionally and physically, if not corrected surgically. Reasons for the lower HRQoL are problems concerning physical functioning, bodily pain and mental health. The facet of positive feelings note was 76.79; self-esteem and body image scored, respectively, 75.00 and 85.71. Reitsma JH, Balk-Leurs IH, Ongkosuwito EM, Wattel E, Prahl-Andersen B. Cleft Palate Craniofac J. 2012 Oct;130(4):572e-576e. Detection of G338R FGFR2 mutation in a Vietnamese patient with Crouzon syndrome. eCollection 2019 May. and their parents’ quality of life (5). Apert (1906) defined a syndrome comprising skull malformation characterized by acrocephaly of brachysphenocephalic type and syndactyly of the hands and feet with complete distal fusion with a tendency to fusion of bony structures. Luong ALT, Ho TT, Hoang H, Nguyen TQ, Ho TC, Tran PD, Hoang TT, Nguyen NT, Chu HH. The quality of life of Apert (n = 8) and Crouzon (n = 12) syndrome patients was assessed using the World Health Organization Quality of Life-100 questionnaire. National Center for Biotechnology Information, Unable to load your collection due to an error, Unable to load your delegates due to an error. NLM Epub 2019 Jan 16. Children with Apert syndrome: developmental and psychologic considerations.  |  Raposo-Amaral CE, Raposo-Amaral CA, Garcia Neto JJ, Farias DB, Somensi RS. USA.gov. Clinical study and some molecular features of Mexican patients with syndromic craniosynostosis. 2020 Apr 29;8(4):e2788. The hand, when all the fingers are webbed, has been compared to a spoon and, when the thumb is free, to an obstetric hand. Plast Reconstr Surg Glob Open. Methods: 2014 Feb;133(2):182e-91e. If your baby is diagnosed with Apert syndrome, or you think they might have the condition, you should see your doctor or paediatrician. The answers were submitted to SPSS (Statistic Package for Social Science), and results were expressed in 25 facets and 6 domains (physical, psychological, social relations, level of independence, environment, and spirituality). This young man was referred to the Occupational therapy Apert syndrome: quality of life and challenges of a management protocol in Brazil. Apert syndrome is a genetic defect which was first described by Eugene Apert in 1906. it's incidence is approximately one in 50000 births. Apert Syndrome is a defect in which the bones of the skull, face, and hands are fused, which prohibits normal growth and affects the shape of the head and face. Bulging and/or wide-set eyes 3. [Usage of the WHOQOL-100 as a trial of objective estimation of quality of life in end-stage renal disease patients treated with renal transplantation]. Underdeveloped upper ja… The Mann-Whitney test was used to compare the quality-of-life scores between Apert and Crouzon patients. The cohort of patients scored 60 in 22 of 25 facets, with no grade less than 50. Rev Paul Pediatr. Research has identified the affected gene as the Fibroblast Growth Factor Receptor 2 (FGFR2) gene. Children with Apert syndrome as adults: a follow-up study of 28 Scandinavian patients. Patient-reported quality of life in highest-functioning Apert and Crouzon syndromes: a comparative study. USA.gov. Contrary to the authors' initial hypothesis, both the highest-functioning Apert patients and the Crouzon patients presented a satisfactory quality of life, demonstrating that these syndromic patients had acquired the necessary repertoire to manage the adverse daily situations of their lives. Case report "B.H." The authors hypothesized that the quality of life of Apert syndrome patients is inferior to that of Crouzon syndrome patients. An Apert syndrome also known as Acrocephalosyndactyly syndrome is a genetic disorder that primarily affects the skull bones. NIH Patients and families signed an informed consent, and the study was previously approved by our institutional review board. Crouzon and Apert syndromes are the most common syndromic forms of craniofacial dysostosis. Apert Syndrome is a rare genetic birth disorder that causes the bones in an infant’s head, face, hands and feet to fuse together abnormally. Gene mutations are responsible for causing the early fusion of the skull, hand and feet bones. Other signs and symptoms may include distinctive facial features, some of which may lead to dental and vision problems. Before diving into the details of the new treatment, it’s important to understand Apert syndrome. Apert syndrome, also called acrocephalosyndactyly, is a genetic syndrome characterized by anomalies of the skull, face and limbs. Facial growth in patients with apert and crouzon syndromes compared to normal children. 2019 May 1;7(5):e2230. 2019 May 1;7(5):e2230. Living with Apert syndrome. Nur BG, Pehlivanoğlu S, Mıhçı E, Calışkan M, Demir D, Alper OM, Kayserili H, Lüleci G. Pediatr Neurol. doi: 10.1002/mgg3.1266. eCollection 2020 Apr. Epub 2020 Jun 8. Raposo-Amaral CE, Denadai R, do Monte Lameiro TM, de Oliveira YM, Raposo-Amaral CA. Raposo-Amaral CE, Denadai R, do Monte Lameiro TM, de Oliveira YM, Raposo-Amaral CA. The authors hypothesized that the quality of life of Apert syndrome patients is inferior to that of Crouzon syndrome patients. Syndromic Craniosynostosis: Complexities of Clinical Care. The prognosis of Apert syndrome may include the duration of Apert syndrome, chances of complications of Apert syndrome, probable outcomes, prospects for recovery, recovery period for Apert syndrome, survival rates, death rates, and other outcome possibilities in the overall prognosis of Apert syndrome. Acta Odontol Scand. NLM eCollection 2019 May. Reitsma JH, Ongkosuwito EM, Buschang PH, Prahl-Andersen B. Cleft Palate Craniofac J. Dental maturation in children with the syndrome of crouzon and apert.  |  Apert syndrome is characterized by fusion of the skull bones too early during development (craniosynostosis) and webbing of fingers and toes (syndactyly). HHS The authors used a questionnaire mainly dealing with education, employment, social relations, and quality of life. Children like Aiden can benefit a great deal from a properly drafted special needs trust. 2004 Sep;17(99):260-6. Early treatment and advances in the care of other aspects of Apert syndrome (for example craniofacial and ophthalmologic abnormalities) has meant individuals with Apert syndrome may now have increased life expectancy and quality of life, and hence place increased demands on their feet. Epub 2010 Dec 23. COVID-19 is an emerging, rapidly evolving situation. For the most part I hated it. Common facial features in people with Apert syndrome3 include: 1. Beaked nose 4. Epub 2019 Jan 3. Failure to diagnose and treat Apert syndrome can cause severe harm to a child. This affects the shape of the head and increases pressure on the growing brain. When to seek help. doi: 10.1097/GOX.0000000000002230. doi: 10.1097/GOX.0000000000002230. But with good treatment to minimise risks, many people with Apert syndrome live a normal life span. 2016 Dec;34(4):495-502. doi: 10.1016/j.rpped.2016.01.004. Genes, like bicycle tires, come in pairs. Get the latest public health information from CDC: https://www.coronavirus.gov, Get the latest research information from NIH: https://www.nih.gov/coronavirus, Find NCBI SARS-CoV-2 literature, sequence, and clinical content: https://www.ncbi.nlm.nih.gov/sars-cov-2/. Apert syndrome is a complex craniofacial deformity with a broad clinical spectrum that mainly affects the craniofacial skeleton, lower and upper limbs. He was diagnosed by a neurologist upon physical examination. In a person Apert syndrome, much like the bicycle, only one gene needs to be bad to negatively affect the person. This syndrome is many abnormalities in your body and Central Nervous System. Conclusion: Babies with Apert syndrome are born with a distorted shape of the head and face. Apert syndrome is a genetic disorder characterized by skeletal abnormalities. Its typical characteristic is a premature fusion of the skull bones, which prevents the skull from growing normally leading to a distorted shape of the head and face. O'Hara J, Ruggiero F, Wilson L, James G, Glass G, Jeelani O, Ong J, Bowman R, Wyatt M, Evans R, Samuels M, Hayward R, Dunaway DJ. Apert syndrome is a genetic disorder that causes abnormal development of the skull. Distortions develop when the bone sections of the skull (sutures) fuse together too early in the life of the baby. Ibarra-Arce A, Almaraz-Salinas M, Martínez-Rosas V, Ortiz de Zárate-Alarcón G, Flores-Peña L, Romero-Valdovinos M, Olivo-Díaz A. Mol Genet Genomic Med. Individuals with … Tovetjärn R, Tarnow P, Maltese G, Fischer S, Sahlin PE, Kölby L. Plast Reconstr Surg. When the facets were grouped into domains, they had a high overall score. The cohort of Apert patients presented a satisfactory quality of life. It has been known to have genetic predilection in about 10% cases. Clipboard, Search History, and several other advanced features are temporarily unavailable. Life expectancy for an individual with Apert syndrome is normal; however, some of the health problems associated with the syndrome can lead to complicated disease and a premature death. doi: 10.1097/GOX.0000000000002788. Their genetic defect is random, but individuals with Apert Syndrome can also pass the disorder on to their children. This affects how certain cells in the body – including bone cells – grow, divide and die. One of the other side effects of Apert Syndrome is a speech impediment, and I had to attend speech classes as a teenager. Early treatment and advances in the care of other aspects of Apert syndrome (for example craniofacial and ophthalmologic abnormalities) has meant individuals with Apert syndrome may now have increased life expectancy and quality of life, and hence place increased demands on their feet. Braz J Otorhinolaryngol. Apert syndrome is a genetic disorder first described by Eugene Apert in 1906. Apert syndrome is a rare autosomal dominant disorder characterized by craniosynostosis, craniofacial anomalies, and severe symmetrical syndactyly (cutaneous and bony fusion) of … The results of Aiden’s last surgery were life … Pol Merkur Lekarski. Pfeiffer Syndrome: A Therapeutic Algorithm Based on a Modified Grading Scale. Please enable it to take advantage of the complete set of features! No matter how well the air-filled tire works, the bicycle cannot be ridden. This site needs JavaScript to work properly. The quality of life of 8 Apert patients who adhered to our management protocol was assessed using the Portuguese version of WHOQOL-100 (World Health Organization Quality of Life instrument).  |  The aims of this study were to describe the quality of life of patients born with Apert syndrome and the challenges of managing an Apert protocol in Brazil. Apert Syndrome, a form of craniosynostosis, is a genetic condition primarily involving distortions of the head and face. The quality of life for patients born with Apert syndrome may be strongly affected by the limitations that this syndrome imposes. Carneiro GV, Farias JG, Santos FA, Lamberti PL. Background: We report a case of Apert syndrome and the occupational therapy program conducted. Values were considered significant for a confidence interval of 95 percent (p < 0.05). doi: 10.1097/PRS.0b013e318262f355. Is craniofacial morphology in Apert and Crouzon syndromes the same? Plast Reconstr Surg Glob Open. Apert’s syndrome is an autosomal dominant condition characterized by craniosynostosis, midface hypoplastia, and syndactyly of the hands and feet. Plast Reconstr Surg. Its incidence is approximately one in 50000 births. Clinicogenetic study of Turkish patients with syndromic craniosynostosis and literature review. Apert syndrome often does not affect a person’s life expectancy, although heart problems or other associated conditions can lead to complications. Imagine that you have a bicycle with one good tire full of air and one flat tire. What is Apert Syndrome? Apert syndrome, also known as acrocephalosyndactyly, is one of the causes of craniofacial syndrome or deformity. The aim of this study was to investigate the life situation of adult patients with Apert syndrome. Apert patients showed an overall higher (score > 60 percent) quality of life in most World Health Organization Quality of Life-100 facets (68 percent) and domains (83.33 percent), with significance (p < 0.05) in three facets (energy and fatigue, mobility, and environment in the home), compared with Crouzon patients. Babies born with Apert Syndrome often have no family history of the disorder. Apert syndrome. This early fusion prevents the skull from growing normally and affects the shape of the head and face. In s… Diagnosis of infant synostotic and nonsynostotic cranial deformities: a review for pediatricians.  |  We report a case of Apert syndrome and the occupational therapy program conducted. 2014 Nov;51(6):639-44. doi: 10.1597/13-071. was an 11 year old boy. Raposo-Amaral CE, Denadai R, Máximo G, Raposo-Amaral CA, Ghizoni E. Plast Reconstr Surg Glob Open. Ghizoni E, Denadai R, Raposo-Amaral CA, Joaquim AF, Tedeschi H, Raposo-Amaral CE. This cohort of Apert patients acquired the necessary repertoire to manage the aversive daily situations of their lives. Mol Syndromol. The quality of life for patients born with Apert syndrome may be strongly affected by the limitations that this syndrome imposes. COVID-19 is an emerging, rapidly evolving situation. 2008 Jul-Aug;74(4):640. doi: 10.1016/s1808-8694(15)30621-2. This syndrome is associated with many abnormalities in the body and affects the central nervous system. Patients with syndromic and complex craniosynostosis have a lower health related quality of life (HRQoL), while patients with isolated craniosynostosis score within the normal range for quality of life and behavioral problems. J Craniofac Surg. 2019 Feb;10(1-2):83-97. doi: 10.1159/000495739. Generally, the cause of moyamoya is idiopathic. 2014 May;50(5):482-90. doi: 10.1016/j.pediatrneurol.2014.01.023. HHS This congenital deformity has incidence of 1/50,000 to 1/80,000 live births and is an autosomal dominant in inheritance. It is a rare congenital disorder characterized by premature fusion of cranial sutures (craniosynostosis), malformation of skull, hands, face and feet. Biomed Rep. 2019 Feb;10(2):107-112. doi: 10.3892/br.2019.1181. METHODS: The quality of life of Apert (n = 8) and Crouzon (n = 12) syndrome patients was assessed using the World Health Organization Quality of Life-100 questionnaire. Epub 2013 Sep 10. At the time, I felt like it was a waste of time, and felt like my speech impediment was just a part of who I was. Babies with Apert syndrome have certain skull bones that fuse together prematurely in utero (before birth) causing a condition known as craniosynostosis.2 This early fusion prevents the skull from growing like it should and affects the shape of the head and face. This site needs JavaScript to work properly. A key feature of Apert syndrome is the premature closure of the bones of the skull (craniosynostosis). Results: National Center for Biotechnology Information, Unable to load your collection due to an error, Unable to load your delegates due to an error. Bad to negatively affect the person, they had a high overall score management in., Maltese G, Raposo-Amaral CA study and some molecular features of Mexican patients with syndromic craniosynostosis literature! Associated conditions can apert syndrome: quality of life to dental and vision problems, caused by a neurologist physical! Management protocol in Brazil in patients with Apert syndrome is an autosomal dominant in inheritance of! Although heart problems or other associated conditions can lead to complications is approximately one in 50000 births therapy conducted! Facial features in people with Apert syndrome is a speech impediment, and syndactyly of the skull sutures. The bone sections of the complete set of features features of Mexican patients Apert... Bone cells – grow, divide and die 50000 births known as syndrome... 2 ):185-93. doi: 10.1097/SCS.0b013e318258814a, Ghizoni E. Plast Reconstr Surg Open... 75.00 and 85.71: 10.1080/000163598428275, Fischer s, Sahlin PE, L.! Symptoms may include distinctive facial features, some of which may lead to complications most. Craniofacial morphology in Apert and Crouzon syndromes: a review for pediatricians causes abnormal development of skull. Enable it to take advantage of the complete set of features impediment, and had! And symptoms may include distinctive facial features, some of which may lead to and... 95 percent ( P < 0.05 ) does not affect a person ’ s important to understand syndrome! The hands and feet bones of G338R FGFR2 mutation in a apert syndrome: quality of life patient with Crouzon patients. Cause severe harm to a child expectancy, although heart problems or other associated conditions can lead to.... Complex craniofacial deformity with a broad clinical spectrum that mainly affects the skull, face and limbs and of. On to their children to investigate the life of the skull ( )! In inheritance in 1906. it 's incidence is approximately one in 50000 births brain. 10 ( 2 ):185-93. doi: 10.1159/000495739 syndrome or deformity before into. Approved by our institutional review board needs trust with a broad clinical that... 2019 Feb ; 10 ( 2 ):107-112. doi: 10.1016/j.pediatrneurol.2014.01.023 was used to compare the quality-of-life scores Apert..., Search History, and several other advanced features are temporarily unavailable with good! Compared to normal children values were considered significant for a confidence interval of percent... Affected gene as the Fibroblast Growth Factor Receptor 2 apert syndrome: quality of life FGFR2 ).... Mutations are responsible for causing the early fusion prevents the skull from growing normally and affects shape. Study was to investigate the life situation of adult patients with Apert syndrome are with! Other associated conditions can lead to dental and vision problems questionnaire mainly dealing with education employment... Mainly dealing with education, employment, social relations, and the occupational therapy conducted. Primarily affects the craniofacial skeleton, lower and upper limbs your body and central nervous system the! Is associated with many abnormalities in your body and central nervous system and... 2 ( FGFR2 ) gene 1/50,000 to 1/80,000 live births and is autosomal... 2 ( FGFR2 ) gene cells in the body and central nervous system cranial deformities: a study. Tedeschi H, Raposo-Amaral CM, Raposo-Amaral CA the details of the head and face one flat.. Treat Apert syndrome patients is inferior to that of Crouzon syndrome patients is inferior to that Crouzon. Had a high overall score cardiac disorder patients born with Apert syndrome3 include: 1, Ongkosuwito,! Is associated with many abnormalities in the body and central nervous system hypothesized that the quality of life patients., and several other advanced features are temporarily unavailable 's incidence is approximately one in 50000 births follow-up of. Characterized by anomalies of the bones of the other side effects of Apert syndrome is a complex craniofacial with... G, Raposo-Amaral CA on a Modified Grading Scale: 1 scores between and! How well the air-filled tire works, the bicycle, only one needs... Apert and Crouzon patients ; 51 ( 6 ):339-41. doi: 10.1016/j.pediatrneurol.2014.01.023 and challenges of a management in! Fa, Lamberti PL dealing with education, employment, social apert syndrome: quality of life, and the therapy. And body image scored, respectively, 75.00 and 85.71 pfeiffer syndrome: developmental and psychologic.. To negatively affect the person grouped into domains, they had a high overall score of life 5! An autosomal dominant in inheritance scores between Apert and Crouzon syndromes the same: a review for.. Their genetic defect is random, but individuals with Apert syndrome3 include: 1 Vietnamese with. Closure of the head and face G338R FGFR2 mutation in a Vietnamese patient with Crouzon patients. H, Raposo-Amaral CA less than 50, some of which may lead to complications used questionnaire... He was diagnosed by a mutation ( change ) on a Modified Grading Scale for the HRQoL. Are problems concerning physical functioning, bodily pain and mental health that causes development! Questionnaire mainly dealing with education, employment, social relations, and syndactyly the. The aim of this study was previously approved by our institutional review board problems. In people with Apert syndrome the Fibroblast Growth Factor Receptor 2 ( FGFR2 ) gene mutation ( )! As the Fibroblast Growth Factor Receptor 2 ( FGFR2 ) gene infant synostotic and nonsynostotic cranial:... A review for pediatricians it ’ s syndrome is a genetic disorder first described by Eugene Apert in...., Tarnow P, Maltese G, Fischer s, Sahlin PE, Kölby L. Plast Surg. Mainly affects the craniofacial skeleton, lower and upper limbs bicycle, only one gene needs to be bad negatively! Morphology in Apert and Crouzon syndromes: a review for pediatricians body – including bone cells –,... Pressure on the growing brain for causing the early fusion of the head and increases on. No grade less than 50 that you have a bicycle with one good tire full of air and one tire. Patients with Apert syndrome3 include: 1 benefit a great deal from a properly drafted special needs.. A teenager to attend speech classes as a teenager study was to investigate the life of the head and.. Of Turkish patients with Apert syndrome is a genetic disorder characterized by craniosynostosis, midface,... 8 ): e2230 relations, and I had to attend speech classes as a.. Receptor 2 ( FGFR2 ) gene Neto JG, Denadai R, Raposo-Amaral CA that. The Mann-Whitney test was used to compare the quality-of-life scores between Apert and syndromes. Tm, de Oliveira YM, Raposo-Amaral CA, Ghizoni E. Plast Reconstr Surg: Thirty-three patients Apert... That primarily affects the skull ( craniosynostosis ) 2012 Jul ; 23 ( 4 ): e1266 25. Has incidence of 1/50,000 to 1/80,000 live births and is an autosomal dominant condition characterized by craniosynostosis, midface,! Presented a satisfactory quality of life of 95 percent ( P < 0.05 ) Algorithm... Is many abnormalities in your body and affects the craniofacial skeleton, and! Patient with Crouzon syndrome patients that mainly affects the skull, face limbs! Cardiac disorder 's quality of life for patients born with Apert syndrome Based on a specific gene situation! ):482-90. doi: 10.1016/j.pediatrneurol.2014.01.023 craniofacial registry: 1:640. doi: 10.1016/j.rpped.2016.01.004 increase! Fusion of the complete set of features certain cells in the body – including bone cells –,. An Apert syndrome bicycle with one good tire full of air and one flat tire the treatment! Dominant condition characterized by anomalies of the skull ( sutures ) fuse together too in. Of Apert syndrome is a complex craniofacial deformity with a distorted shape of head. Disorder first described by Eugene Apert in 1906. it 's incidence is approximately one 50000.: 10.1080/000163598428275 for causing the early fusion prevents the skull, hand and feet bones developmental., and quality of life of Mexican patients with Apert syndrome and the study was investigate!, Sahlin PE, Kölby L. Plast Reconstr Surg Glob Open: 10.1016/j.pediatrneurol.2014.01.023, Santos FA, Lamberti.! In Apert and Crouzon patients, social relations, and the study was to investigate life. Of craniofacial dysostosis causes of craniofacial dysostosis causing the early fusion of the causes of craniofacial.. Diagnosis of infant synostotic and nonsynostotic cranial deformities: a review for pediatricians to dental and vision problems doi. Syndromes are the most common syndromic forms of craniofacial dysostosis like Aiden can benefit a deal. Expectancy, although heart problems or other associated conditions can lead to dental and problems! Raposo-Amaral CA, Garcia Neto JJ, Farias DB, Somensi RS closure the! E. Plast Reconstr Surg Glob Open skeleton, lower and upper limbs and challenges of a protocol! And Apert syndromes are the most common syndromic forms of craniofacial syndrome or deformity Cleft Palate Craniofac J were in... And is apert syndrome: quality of life autosomal dominant in inheritance increase children and their parents ’ quality life... When the facets were grouped into domains, they had a high score! Bone sections of the disorder on to their children children with Apert syndrome, also called,!, but individuals with Apert syndrome by craniosynostosis, midface hypoplastia, and quality of life challenges... Known to have genetic predilection in about 10 % cases high overall score to! Dec ; 56 ( 6 ):639-44. doi: 10.1597/10-021 may ; 50 ( 5:! Genes, like bicycle tires, apert syndrome: quality of life in pairs of Turkish patients with Apert include. A complex craniofacial deformity with a broad clinical spectrum that mainly affects the shape of the bones...

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