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Treatment of Apert Syndrome: A Long-Term Follow-Up Study

Allam, Karam A. M.D.; Wan, Derrick C. M.D.; Khwanngern, Krit M.D.; Kawamoto, Henry K. M.D., D.D.S.; Tanna, Neil M.D.; Perry, Adam M.D.; Bradley, James P. M.D.

Plastic and Reconstructive Surgery: April 2011 - Volume 127 - Issue 4 - p 1601-1611
doi: 10.1097/PRS.0b013e31820a64b6
Pediatric/Craniofacial: Original Articles
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Background: Patients with Apert syndrome have severe malformations of the skull and face requiring multiple complex reconstructive procedures. The authors present a long-term follow-up study reporting both surgical results and psychosocial status of patients with Apert syndrome.

Methods: A retrospective study was performed identifying patients with Apert syndrome treated between 1975 and 2009. All surgical procedures were recorded and a review of psychosocial and educational status was obtained when patients reached adulthood.

Results: A total of 31 patients with Apert syndrome were identified; nine with long-term follow-up had complete records for evaluation. The average patient age was 30.4 years. Primary procedures performed included strip craniectomy and fronto-orbital advancement. Monobloc osteotomy and facial bipartition were performed in eight patients, and all underwent surgical orthognathic correction. Multiple auxiliary procedures were also performed to achieve better facial symmetry. Mean follow-up after frontofacial advancement was 22.5 years. Psychosocial evaluation demonstrated good integration of patients into mainstream life.

Conclusions: This report presents one of the longest available follow-up studies for surgical correction of patients with Apert syndrome. Although multiple reconstructive procedures were necessary, they play an important role in enhancing the psychosocial condition of the patients, helping them integrate into mainstream life.

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Los Angeles, Calif.

From the Division of Plastic and Reconstructive Surgery, University of California, Los Angeles Medical Center.

Received for publication May 30, 2010; accepted October 11, 2010.

The first two authors contributed equally to this article.

Disclosure:The authors have no financial interest to declare in relation to the content of this article.

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Henry K. Kawamoto, M.D., D.D.S., Division of Plastic and Reconstructive Surgery, University of California, Los Angeles Medical Center, 1301 20th Street, Suite 460, Santa Monica, Calif. 90404, kawamoto@ucla.edu

©2011American Society of Plastic Surgeons