A case report of acampomelic campomelic dysplasia and operative difficulties in cleft palate reconstruction

Acampomelic campomelic dysplasia (CD) is a type of CD (CD; OMIM #114290), a rare form of congenital short-limbed dwarfism and is due to mutations in SOX9 gene family. Characteristic phenotypes of CD include bowing of the lower limbs, a narrow thoracic cage, 11 pairs of ribs, hypoplastic scapulae, ma...

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Main Authors: M. Pasupathy, Vasant Radhakrishnan, Hirji Sorab Adenwalla, Puthucode V. Narayanan
Format: Article
Language:English
Published: Thieme Medical and Scientific Publishers Pvt. Ltd. 2016-05-01
Series:Indian Journal of Plastic Surgery
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Online Access:http://www.thieme-connect.de/DOI/DOI?10.4103/0970-0358.191310
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author M. Pasupathy
Vasant Radhakrishnan
Hirji Sorab Adenwalla
Puthucode V. Narayanan
author_facet M. Pasupathy
Vasant Radhakrishnan
Hirji Sorab Adenwalla
Puthucode V. Narayanan
author_sort M. Pasupathy
collection DOAJ
description Acampomelic campomelic dysplasia (CD) is a type of CD (CD; OMIM #114290), a rare form of congenital short-limbed dwarfism and is due to mutations in SOX9 gene family. Characteristic phenotypes of CD include bowing of the lower limbs, a narrow thoracic cage, 11 pairs of ribs, hypoplastic scapulae, macrocephaly, flattened supraorbital ridges and nasal bridge, cleft palate and micrognathia. The bending of the long bones is not an obligatory feature and is absent in about 10% of cases, referred to as acampomelic CD. A child previously diagnosed with acampomelic CD was brought to our outpatient clinic for cleft palate reconstruction. Our neurosurgeon cautioned us against performing surgery with extension of the neck in view of the possibility of producing quadriparesis, due to narrowing of the spinal canal as part of the osseous anomaly noted in the magnetic resonance imaging study of the spine, thus making the anaesthesia, surgical and post-operative procedures difficult. The cleft palate reconstruction was performed with all precautions and was uneventful.
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publisher Thieme Medical and Scientific Publishers Pvt. Ltd.
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spelling doaj-art-0a47e909bb194955a3f9efb84f115bd22025-08-20T03:17:27ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Plastic Surgery0970-03581998-376X2016-05-01490225325710.4103/0970-0358.191310A case report of acampomelic campomelic dysplasia and operative difficulties in cleft palate reconstructionM. Pasupathy0Vasant Radhakrishnan1Hirji Sorab Adenwalla2Puthucode V. Narayanan3The Charles Pinto Centre for Cleft Lip, Palate and Craniofacial Anomalies, Jubilee Mission Medical College and Research InstituteThe Charles Pinto Centre for Cleft Lip, Palate and Craniofacial Anomalies, Jubilee Mission Medical College and Research InstituteDepartment of Plastic Surgery, Burns and The Charles Pinto Centre for Cleft Lip, Palate and Craniofacial Anomalies, Jubilee Mission Medical College and Research Institute, Trissur, Kerala, IndiaThe Charles Pinto Centre for Cleft Lip, Palate and Craniofacial Anomalies, Jubilee Mission Medical College and Research InstituteAcampomelic campomelic dysplasia (CD) is a type of CD (CD; OMIM #114290), a rare form of congenital short-limbed dwarfism and is due to mutations in SOX9 gene family. Characteristic phenotypes of CD include bowing of the lower limbs, a narrow thoracic cage, 11 pairs of ribs, hypoplastic scapulae, macrocephaly, flattened supraorbital ridges and nasal bridge, cleft palate and micrognathia. The bending of the long bones is not an obligatory feature and is absent in about 10% of cases, referred to as acampomelic CD. A child previously diagnosed with acampomelic CD was brought to our outpatient clinic for cleft palate reconstruction. Our neurosurgeon cautioned us against performing surgery with extension of the neck in view of the possibility of producing quadriparesis, due to narrowing of the spinal canal as part of the osseous anomaly noted in the magnetic resonance imaging study of the spine, thus making the anaesthesia, surgical and post-operative procedures difficult. The cleft palate reconstruction was performed with all precautions and was uneventful.http://www.thieme-connect.de/DOI/DOI?10.4103/0970-0358.191310acampomeliccampomelic dysplasiacleft palate sox9 gene
spellingShingle M. Pasupathy
Vasant Radhakrishnan
Hirji Sorab Adenwalla
Puthucode V. Narayanan
A case report of acampomelic campomelic dysplasia and operative difficulties in cleft palate reconstruction
Indian Journal of Plastic Surgery
acampomelic
campomelic dysplasia
cleft palate
sox9 gene
title A case report of acampomelic campomelic dysplasia and operative difficulties in cleft palate reconstruction
title_full A case report of acampomelic campomelic dysplasia and operative difficulties in cleft palate reconstruction
title_fullStr A case report of acampomelic campomelic dysplasia and operative difficulties in cleft palate reconstruction
title_full_unstemmed A case report of acampomelic campomelic dysplasia and operative difficulties in cleft palate reconstruction
title_short A case report of acampomelic campomelic dysplasia and operative difficulties in cleft palate reconstruction
title_sort case report of acampomelic campomelic dysplasia and operative difficulties in cleft palate reconstruction
topic acampomelic
campomelic dysplasia
cleft palate
sox9 gene
url http://www.thieme-connect.de/DOI/DOI?10.4103/0970-0358.191310
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