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Original Research

Open Access

Freeman-Sheldon syndrome: dental and orthodontic implications

  • T. Roberts1
  • L. Stephen1
  • T. Naidoo1
  • K. Fieggen2
  • P. Beighton2

1Faculty of Dentistry, University of the Western Cape

2Division of Human Genetics, Faculty of Health Sciences, University of Cape Town

DOI: 10.17796/jcpd.29.3.8576133xh3576n76 Vol.29,Issue 3,July 2005 pp.267-272

Published: 01 July 2005

Abstract

The manifestations of the Freeman-Sheldon syndrome (FSS) in four members of a South African fam-ily of Xhosa stock have been documented. Orofacial manifestations are a major syndromic compo-nent and warrant early, specialized orthodontic intervention. Our protocol for dental management is outlined and suggestions for holistic oro-dental care are provided.


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T. Roberts,L. Stephen,T. Naidoo,K. Fieggen,P. Beighton. Freeman-Sheldon syndrome: dental and orthodontic implications. Journal of Clinical Pediatric Dentistry. 2005. 29(3);267-272.

References

1. Freeman EA, Sheldon JH. Cranio-carpo-tarsal dystrophy: an undescribed congenital malformation. Arch Dis Child 13: 277-283, 1938.

2. Freeman EA, Sheldon JH. Case Report. Proc R Soc Med 31:1116-1117, 1938.

3. Burian F. The “whistling face” characteristic in a compound cranio-facial corporal syndrome. Br J Plast Surg 16: 140-143, 1963.

4. Weinstein S, Gorlin RJ. Cranio-carpo-tarsal dysplasia or the whistling face syndrome. I. Clinical considerations. Am J Dis Child 117: 427-433, 1969.

5. Antley RM, Uga N, Burzynski NJ, Baum RS, Bixler D. Diagnostic criteria for the whistling face syndrome. Birth Defects Orig Art Ser XI: 161-168, 1975.

6. Beighton P. Inherited Disorders of the Skeleton 2nd ed. Edinburgh, London, Churchill Livingstone, pp239-241, 1988.

7. Manji KP, Mbise RL. Generalised muscle hypertonia with mask-like face (Freeman-Sheldon syndrome) in a Tanzanian girl. Clin Genet 54: 252-253, 1998.

8. Krakowiak PA, O’Quinn JR, Bohnsack JF, Watkins WS, Carey JC, Horde LB, Bamshad M. A variant of Freeman-Sheldon-syn-drome maps to 11p15.5-pter. Am J Hum Genet 60: 426-432, 1997.

9. Sauk JJ, Delaney JR, Reaume C, Brandjord R, Witkop CJ. Electromyography of oral-facial musculature in craniocar-potarsal dysplasia (Freeman-Sheldon syndrome). Clin Genet 6:132-137, 1974.

10. Vanek J, Janda J, Amblerova V, Losan F. Freeman-Sheldon syn-drome: a disorder of congenital myopathic origin? J Med Genet 23:231-236, 1986.

11. Cervenka J, Gorlin RJ, Figalova P, Farkasova J. Cranio-carpo-tarsal dysplasia or the whistling face syndrome. II. Oral inter-commissural distance in children. Am J Dis Child 117: 434-435, 1969.

12. Marasovich WA, Mazaheri M, Stoll SE. Otolaryngologic findings in whistling face syndrome. Arch Otolaryng Head Neck Surg 115: 1373-1380, 1989.

13. Rintala AE. Freeman-Sheldon’s syndrome, cranio-carpo-tarsal dystrophy. Acta Paediat Scand 57:553-556, 1968.

14. Robinson PJ. Freeman-Sheldon syndrome: severe upper airway obstruction requiring neonatal tracheostomy. Pediatr Pulmonol 23: 457-459, 1997.

15. Schefels J, Wentzl TG, Merz U, Ramaekers V, Holzki J, Rudnik-Schoeneborn S, Hermanns B, Hornchen H. Functional airway obstruction in a child with Freeman-Sheldon syndrome. J Otorhinolaryngol Relat Spec 64: 53-56, 2002.

16. Gilliani CA, Matt BH Laryngomalacia and intra-neural striated muscle in an infant with the Freeman-Sheldon syndrome. Int J Pediatr Otorhinol Laryngol 25: 243-248, 1993.

17. Alonso Calderon JL, Ali Taoube K. Freeman-Sheldon syndrome: clinical manifestations and anesthetic and surgical management. An Esp Pediatr 56: 175-179, 2002.

18. Ohyama K, Susami T, Kato Y, Amano H, Kuroda T. Freeman-Sheldon syndrome: case management from age 6 to 16 years. Cleft Palate Craniofac J 34: 151-153, 1997.

19. Jones R, Dolcourt JL. Muscle rigidity following halothane anes-thesia in two patients with Freeman-Sheldon syndrome. Anesthesiology 77: 599-600, 1992.

20. Cruickshanks GF, Brown S, Chitayat D. Anesthesia for Freeman-Sheldon syndrome using laryngeal mask air. Can J Anaesth 46: 783- 787, 1999.

21. Agritmus A, Unlusoy O, Karaca S. Anesthetic management of a patient with Freeman-Sheldon syndrome. Paediatr Anaesth 14: 874- 877, 2004.

22. Nargozian C. The airway in patients with craniofacial abnormal-ities. Paediatr Anaesth 14: 53-59, 2004.

23. Stephen LXG, Beighton PH. Oro-dental manifestations of the Schwartz-Jampel syndrome. J Clin Pediatr Dent 27: 67-70, 2002.

24. Hall JG, Reed SD, Greene G. The distal arthrogryposes: delin-eation of new entities - review and nosologic discussion. Am J Med Genet 11: 185-239, 1982.


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