Table 4.

Treatment of Manifestations in Individuals with SCS

ManifestationTreatmentConsiderations/Other
Craniofacial
malformation 		Ongoing management by an established craniofacial team
  • Typical cranioplasty occurs in 1st yr of life.
  • In some individuals midfacial surgery is needed during childhood to address dental malocclusion, swallowing difficulties, or respiratory problems.
  • Orthodontic treatment &/or orthognathic surgery may be required at or near completion of facial growth.
Cleft palate
(if present) 		Surgical treatment

In most cases, cranioplasty precedes palatal repair.

Ophthalmologic
abnormalities 		Standard treatment as recommended by ophthalmologist

Ptosis & strabismus should be corrected in early childhood to prevent amblyopia, either w/patching or surgery. If papilledema is detected, consider cranioplasty.

Hearing loss Treated in standard manner
Developmental
delay 		Early intervention &/or special education as appropriate

From: Saethre-Chotzen Syndrome

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