{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,20]],"date-time":"2025-09-20T20:29:53Z","timestamp":1758400193846,"version":"3.44.0"},"reference-count":4,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:p>Children born with the rare congenital condition Freeman-Sheldon syndrome (FSS) have a characteristic facial appearance: microstomia, a long philtrum, \u2018H-shaped\u2019 chin abnormality and \u2018pinched lips\u2019 in addition to extra-facial features such as kyphoscoliosis and hand deformities. Such children often have problems with oral continence and difficulties with speech leading to both nutritional and psychosocial concerns. Prompt correction through surgery is therefore important in effectively managing the condition. We report the case of a 7-year-old girl who presented with the appearance of scarred lips with difficulties in closing her mouth, a speech impediment and oral incontinence. Using a muscle-sparing technique to reconstruct the upper and lower lips, better oral continence was achieved alongside markedly improved speech and an aesthetically pleasing result. Taken together, this case aptly illustrates the benefits of lip reconstruction in improving function and cosmesis in patients with FSS.<\/jats:p>","DOI":"10.1136\/bcr-2013-009191","type":"journal-article","created":{"date-parts":[[2013,11,13]],"date-time":"2013-11-13T06:55:06Z","timestamp":1384325706000},"page":"bcr2013009191","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Improving oral function and cosmesis in a case of Freeman-Sheldon syndrome"],"prefix":"10.1136","volume":"2013","author":[{"given":"Vishal","family":"Vyas","sequence":"first","affiliation":[{"name":"Barnet and Chase Farm Hospitals NHS Trust, Barnet, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Riaz","family":"Agha","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery, Stoke Mandeville Hospital, Aylesbury, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tariq","family":"Ahmad","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2013,11,13]]},"reference":[{"key":"2025082722364354000_2013.nov13_1.bcr2013009191.1","doi-asserted-by":"crossref","first-page":"754","DOI":"10.1542\/peds.2005-1219","article-title":"Clinical characteristics and natural history of Freeman-Sheldon syndrome","volume":"2013","author":"Stevenson","year":"2006","journal-title":"Pediatrics"},{"key":"2025082722364354000_2013.nov13_1.bcr2013009191.2","doi-asserted-by":"crossref","first-page":"277","DOI":"10.1136\/adc.13.75.277","article-title":"Cranio-carpo-tarsal dystrophy an undescribed congenital malformation","volume":"2013","author":"Freeman","year":"1938","journal-title":"Arch Dis Child"},{"key":"2025082722364354000_2013.nov13_1.bcr2013009191.3","doi-asserted-by":"crossref","first-page":"140","DOI":"10.1016\/S0007-1226(63)80095-8","article-title":"The \u201cwhistling face\u201d characteristic in a compound cranio-facio-corporal syndrome","volume":"2013","author":"Burian","year":"1963","journal-title":"Br J Plast Surg"},{"key":"2025082722364354000_2013.nov13_1.bcr2013009191.4","doi-asserted-by":"crossref","first-page":"201","DOI":"10.1016\/0007-1226(94)90056-6","article-title":"Freeman-Sheldon syndrome: surgical correction of microstomia: a case report","volume":"2013","author":"Ferreira","year":"1994","journal-title":"Br J Plast Surg"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2013-009191","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T05:36:55Z","timestamp":1756359415000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2013-009191"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,11,13]]},"references-count":4,"alternative-id":["10.1136\/bcr-2013-009191"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2013-009191","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2013,11,13]]}}}