Answer:
Physical findings of the head: skull is turribrachycephalic secondary to coronal and occasional saggital synostosis. Maxillary hypoplasia with resulting maxillary deficiency leads to shallow orbits and exorbitism.
Associated physical findings: broad thumbs, broad great toes, and occasional partial syndactyly involving the second and third digits.
Genetic mode of transmission: autosomal dominant. Mutations in FGFR 1 and 2 cause sporadic and familial Pfeifer's syndrome.
Mental status of the patient: intelligence reported to be normal in most patients
Timing and description of the operation: suture release at 6 months; advance orbit 6-12 months, LeForte III 9-12 years old; secondary work as teenagers.