This 5-year-old was referred by the paediatrician because of the following
dysmorphic features which had been present since birth. Her growth and mental
development were normal. She had no family history of similar condition. Her
parents were keen for some corrective surgery as she was always mistaken for
being mentally deficient and at the play school she was teased by other children
for looking funny.
Figure 1, 2a and 2b. Frontal
facial appearance of the patient and on attempting to look down and up.
a. Based on the facial features
above, what is the most likely diagnosis?
b. Is this condition associated
with any systemic abnormalities?
c. How may one improve the
appearance of this patient?