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Wide nasal base

MedGen UID:
341506
Concept ID:
C1849667
Finding
Synonyms: Broad base of nose; Broad nasal base
 
HPO: HP:0012810

Definition

Increased distance between the attachments of the alae nasi to the face. [from HPO]

Term Hierarchy

Conditions with this feature

Nicolaides-Baraitser syndrome
MedGen UID:
220983
Concept ID:
C1303073
Disease or Syndrome
Nicolaides-Baraitser syndrome (NCBRS) is characterized by sparse scalp hair, prominence of the inter-phalangeal joints and distal phalanges due to decreased subcutaneous fat, characteristic coarse facial features, microcephaly, seizures, and developmental delay / intellectual disability. Seizures are of various types and can be difficult to manage. Developmental delay / intellectual disability (ID) is severe in nearly a half, moderate in a third, and mild in the remainder. Nearly a third never develop speech or language skills.
Gingival fibromatosis-hypertrichosis syndrome
MedGen UID:
342675
Concept ID:
C1851120
Disease or Syndrome
Extreme hirsutism with gingival fibromatosis follows a dominant pattern of inheritance (Weski, 1920; Garn and Hatch, 1950). There is no necessary relationship between the age of development of the gingival changes and the hypertrichosis. The latter may be present at birth but often appears at puberty (Anderson et al., 1969). For a discussion of genetic heterogeneity of congenital generalized hypertrichosis, see HTC1 (145701).
Intellectual disability-feeding difficulties-developmental delay-microcephaly syndrome
MedGen UID:
816016
Concept ID:
C3809686
Mental or Behavioral Dysfunction
A rare, genetic, neurodevelopmental disorder characterized by global developmental delay, borderline to severe intellectual disability, feeding difficulties, behavioral anomalies, vision anomalies and mild facial dysmorphism. Other associated features may include microcephaly, short stature, urogenital or palatal anomalies (e.g. cleft palate), minor cardiac defects, recurrent infections or hearing loss.
Intellectual disability, autosomal dominant 39
MedGen UID:
909304
Concept ID:
C4225296
Disease or Syndrome
An autosomal dominant condition caused by mutation(s) in the MYT1L gene, encoding myelin transcription factor 1-like protein. It is characterized by intellectual disability and mild dysmorphic facial features.
Autosomal recessive cutis laxa type 2C
MedGen UID:
1385755
Concept ID:
C4479387
Disease or Syndrome
Autosomal recessive cutis laxa type IIC (ARCL2C) is characterized by generalized skin wrinkling with sparse subcutaneous fat and dysmorphic progeroid facial features. Most patients also exhibit severe hypotonia as well as cardiovascular involvement (summary by Van Damme et al., 2017). For a general phenotypic description and a discussion of genetic heterogeneity of autosomal recessive cutis laxa, see ARCL1A (219100).
Retinitis pigmentosa-hearing loss-premature aging-short stature-facial dysmorphism syndrome
MedGen UID:
1615526
Concept ID:
C4540367
Disease or Syndrome
SHRF is an autosomal recessive disorder characterized by short stature, brachydactyly, dysmorphic facial features, hearing loss, and visual impairment. Onset of the hearing and visual abnormalities, including retinitis pigmentosa, varies from birth to the second decade. Patients have mild intellectual disability and mild cerebellar atrophy with myelination defects on brain imaging (summary by Di Donato et al., 2016).
Intellectual disability, autosomal dominant 51
MedGen UID:
1625009
Concept ID:
C4540474
Mental or Behavioral Dysfunction
Autosomal recessive spinocerebellar ataxia 20
MedGen UID:
1684324
Concept ID:
C5190595
Disease or Syndrome
Autosomal recessive spinocerebellar ataxia-20 is a neurodevelopmental disorder characterized by severely delayed psychomotor development with poor or absent speech, wide-based or absent gait, coarse facies, and cerebellar atrophy (summary by Thomas et al., 2014).
Shukla-Vernon syndrome
MedGen UID:
1674076
Concept ID:
C5193146
Disease or Syndrome
Shukla-Vernon syndrome (SHUVER) is an X-linked recessive neurodevelopmental disorder characterized by global developmental delay, variably impaired intellectual development, and behavioral abnormalities, including autism spectrum disorder and ADHD. Dysmorphic features are common and may include tall forehead, downslanting palpebral fissures, and tapering fingers. Some patients may have seizures and/or cerebellar atrophy on brain imaging. Carrier mothers may have mild manifestations, including learning disabilities (summary by Shukla et al., 2019).
Intellectual developmental disorder, autosomal recessive 72
MedGen UID:
1684805
Concept ID:
C5231452
Disease or Syndrome
Autosomal recessive intellectual developmental disorder-72 (MRT72) is characterized by moderately to severely impaired intellectual development, microcephaly, and facial dysmorphism. Some patients may have seizures (Hu et al., 2019).
Stüve-Wiedemann syndrome 1
MedGen UID:
1803541
Concept ID:
C5676888
Disease or Syndrome
Stuve-Wiedemann syndrome is an autosomal recessive disorder characterized by bowing of the long bones and other skeletal anomalies, episodic hyperthermia, respiratory distress, and feeding difficulties usually resulting in early death (Dagoneau et al., 2004). See also 'classic' Schwartz-Jampel syndrome type 1 (SJS1; 255800), a phenotypically similar but genetically distinct disorder caused by mutation in the HSPG2 gene (142461) on chromosome 1p36. Genetic Heterogeneity of Stuve-Wiedemann Syndrome Stuve-Wiedemann syndrome-2 (STWS2; 619751) is caused by mutation in the IL6ST gene (600694) on chromosome 5q11.

Professional guidelines

PubMed

Sedaghat AR, Fokkens WJ, Lund VJ, Hellings PW, Kern RC, Reitsma S, Toppila-Salmi S, Bernal-Sprekelsen M, Mullol J, Gevaert P, Teeling T, Alobid I, Anselmo-Lima WT, Baroody FM, Cervin A, Cohen NA, Constantinidis J, De Gabory L, Desrosiers M, Harvey RJ, Kalogjera L, Knill A, Landis BN, Meco C, Philpott CM, Ryan D, Schlosser RJ, Senior BA, Smith TL, Tomazic PV, Zhang L, Hopkins C
Rhinology 2023 Dec 1;61(6):519-530. doi: 10.4193/Rhin23.335. PMID: 37804121
Iyizoba-Ebozue Z, Fleming JC, Prestwich RJD, Thomson DJ
Eur J Surg Oncol 2022 Jan;48(1):32-43. Epub 2021 Nov 19 doi: 10.1016/j.ejso.2021.11.124. PMID: 34840009
Leatherman BD, Khalid A, Lee S, McMains K, Peltier J, Platt MP, Stachler RJ, Toskala E, Tropper G, Venkatraman G, Lin SY
Int Forum Allergy Rhinol 2015 Sep;5(9):773-83. Epub 2015 Jun 11 doi: 10.1002/alr.21561. PMID: 26097218

Recent clinical studies

Etiology

Taş S
Aesthet Surg J 2020 Feb 17;40(3):263-275. doi: 10.1093/asj/sjz063. PMID: 30980075
Carniol ET, Adamson PA
Facial Plast Surg 2018 Feb;34(1):29-35. Epub 2018 Feb 6 doi: 10.1055/s-0037-1621714. PMID: 29409101
Dantas WR, Silveira MM, Vasconcelos BC, Porto GG
Braz J Otorhinolaryngol 2015 Jan-Feb;81(1):19-23. Epub 2014 Aug 28 doi: 10.1016/j.bjorl.2014.08.005. PMID: 25595851Free PMC Article
Foda HM
Facial Plast Surg 2011 Apr;27(2):225-33. Epub 2011 Mar 14 doi: 10.1055/s-0030-1271302. PMID: 21404164
Foda HM
Arch Facial Plast Surg 2007 Jan-Feb;9(1):30-4. doi: 10.1001/archfaci.9.1.30. PMID: 17224485

Diagnosis

Doğan E, Özgür E
Cleft Palate Craniofac J 2023 May;60(5):616-620. Epub 2022 Jun 8 doi: 10.1177/10556656221074865. PMID: 35675164
Guo L, Park J, Yi E, Marchi E, Hsieh TC, Kibalnyk Y, Moreno-Sáez Y, Biskup S, Puk O, Beger C, Li Q, Wang K, Voronova A, Krawitz PM, Lyon GJ
Eur J Hum Genet 2022 Nov;30(11):1244-1254. Epub 2022 Aug 15 doi: 10.1038/s41431-022-01171-1. PMID: 35970914Free PMC Article
Bohîlţea RE, Cîrstoiu MM, Nedelea FM, Turcan N, Georgescu TA, Munteanu O, Baroş A, Istrate-Ofiţeru AM, Berceanu C
Rom J Morphol Embryol 2020 Jul-Sep;61(3):905-910. doi: 10.47162/RJME.61.3.29. PMID: 33817732Free PMC Article
Rohrich RJ, Savetsky IL, Suszynski TM, Mohan R, Avashia YJ
Plast Reconstr Surg 2020 Dec;146(6):1259-1267. doi: 10.1097/PRS.0000000000007385. PMID: 33234955
Achiron R, Heggesh J, Grisaru D, Goldman B, Lipitz S, Yagel S, Frydman M
Am J Med Genet 2000 May 29;92(3):159-65. doi: 10.1002/(sici)1096-8628(20000529)92:3<159::aid-ajmg1>3.0.co;2-2. PMID: 10817648

Therapy

Rohrich RJ, Savetsky IL, Suszynski TM, Mohan R, Avashia YJ
Plast Reconstr Surg 2020 Dec;146(6):1259-1267. doi: 10.1097/PRS.0000000000007385. PMID: 33234955
Taş S
Aesthet Surg J 2020 Feb 17;40(3):263-275. doi: 10.1093/asj/sjz063. PMID: 30980075
Carniol ET, Adamson PA
Facial Plast Surg 2018 Feb;34(1):29-35. Epub 2018 Feb 6 doi: 10.1055/s-0037-1621714. PMID: 29409101
Varedi P, Bohluli B
J Oral Maxillofac Surg 2015 Sep;73(9):1843.e1-9. Epub 2015 May 29 doi: 10.1016/j.joms.2015.05.027. PMID: 26067559

Prognosis

Carniol ET, Adamson PA
Facial Plast Surg 2018 Feb;34(1):29-35. Epub 2018 Feb 6 doi: 10.1055/s-0037-1621714. PMID: 29409101
Varedi P, Bohluli B
J Oral Maxillofac Surg 2015 Sep;73(9):1843.e1-9. Epub 2015 May 29 doi: 10.1016/j.joms.2015.05.027. PMID: 26067559
Varedi P, Shirani G, Bohluli B, Besharati R, Keyhan SO
J Oral Maxillofac Surg 2013 Aug;71(8):1435-8. Epub 2013 Apr 15 doi: 10.1016/j.joms.2013.02.015. PMID: 23597951
Ismail AS
Otolaryngol Head Neck Surg 2011 Jan;144(1):48-52. doi: 10.1177/0194599810390891. PMID: 21493386

Clinical prediction guides

Doğan E, Özgür E
Cleft Palate Craniofac J 2023 May;60(5):616-620. Epub 2022 Jun 8 doi: 10.1177/10556656221074865. PMID: 35675164
Varedi P, Bohluli B
J Oral Maxillofac Surg 2015 Sep;73(9):1843.e1-9. Epub 2015 May 29 doi: 10.1016/j.joms.2015.05.027. PMID: 26067559
Varedi P, Shirani G, Bohluli B, Besharati R, Keyhan SO
J Oral Maxillofac Surg 2013 Aug;71(8):1435-8. Epub 2013 Apr 15 doi: 10.1016/j.joms.2013.02.015. PMID: 23597951
Lee YH, Lee SH, Hwang K
J Craniofac Surg 2012 Sep;23(5):1442-3. doi: 10.1097/SCS.0b013e31825e4b38. PMID: 22948628

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