Alternative titles and symbols : Median facial cleft syndrome; FRONTORHINY; FNM; Frontonasal dysplasia; FND; Frontonasal malformation;
Description : The term frontonasal dysplasia was coined by Sedano et al. (1970) to describe a constellation
of findings limited to the face and head. The disorder is defined as 2 or more of
the following: (1) true ocular hypertelorism; (2) broadening of the nasal root; (3)
median facial cleft affecting the nose and/or upper lip and palate; (4) unilateral
or bilateral clefting of the alae nasi; (5) lack of formation of the nasal tip; (6)
anterior cranium bifidum occultum (see 168500); and (7) a V-shaped or widow's peak
frontal hairline (Sedano and Gorlin, 1988). Most reported cases are sporadic, but
a few familial cases have been reported. Twigg et al. (2009) characterized frontonasal
malformation (FNM) as a 'very heterogeneous group of disorders' and summarized clinical
features. Also see acromelic frontonasal dysplasia (AFND; 603671), frontofacionasal
dysplasia (FFND; 229400), oculoauriculofrontonasal syndrome (OAFNS; 601452), the acrofrontofacionasal
dysostosis syndromes (201180, 239710), and craniofrontonasal syndrome (304110). -
Genetic Heterogeneity of Frontonasal Dysplasia Frontonasal dysplasia-2 (FND2; 613451)
is caused by mutation in the ALX4 gene (605420) on chromosome 11p11.2. Frontonasal
dysplasia-3 (FND3; 613456) is caused by mutation in the ALX1 gene (601527) on chromosome
12q21.3-q22.;
Inheritance : Autosomal recessive;
Molecular basis : Caused by mutation in the aristaless-like homeobox 3 gene (ALX3, 606014.0001);