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Frontorhiny is a distinct syndromic type of frontonasal malformation characterized by hypertelorism, wide nasal bridge, broad columella, widened philtrum, widely separated narrow nares, poor development of nasal tip, midline notch of the upper alveolus, columella base swellings and a low hairline. Additional features reported in some include upper eyelid ptosis and midline dermoid cysts of craniofacial structures and philtral pits or rugose folding behind the ears. An autosomal recessive inheritance has been proposed.
Features include always present findings: Wide nasal bridge. 34 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Head and neck | 4 | Median cleft upper lip, Widely-spaced maxillary central incisors, Median cleft palate |
Arms and legs |
ALX3 encodes ALX homeobox 3 (343 aa). Transcriptional regulator with a possible role in patterning of mesoderm during development Highest expression in Pituitary (1.3 TPM) and Uterus (0.9 TPM).
Frontorhiny is caused by mutations in the ALX3 gene on chromosome 1.
ALX3 is classified as a druggable target with score 0.0.
Genetic testing for ALX3 is available. Testing is considered confirmatory for diagnosis.
Phenotype severity distribution: 1 always present feature.
Estimated prevalence: Unknown (Unknown prevalence).
No clinical trials have been registered for frontorhiny.
17 publications have been identified in PubMed for frontorhiny. Research spans Basic Science / Preclinical (41%), Case Report / Case Series (35%), and Clinical Trial Publication (18%).
Research Type | Count | % of Total |
|---|---|---|
Laboratory research | 7 | 41% |
Data assembled from 7 of 12 sources · Last updated Sep 17, 2026, 11:32 PM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
3 |
Radial deviation of finger, Postaxial hand polydactyly, Joint contracture of the hand |
Muscles | 2 | Pectoral muscle hypoplasia/aplasia, Joint contracture of the hand |
Eyes | 2 | Cataract, Ptosis |
Skin | 1 | Preauricular skin tag |
Brain and nerves | 1 | Intellectual disability |
Bones and joints | 1 | Joint contracture of the hand |
Ears | 1 | Conductive hearing impairment |
6 |
35% |
Clinical study results | 3 | 18% |
Research summaries | 1 | 6% |
Allam K (2026). [PMID: 42176895](https://pubmed.ncbi.nlm.nih.gov/42176895/). *J Stomatol Oral Maxillofac Surg*. [Case Report / Case Series]
Aryal S (2026). [PMID: 41727820](https://pubmed.ncbi.nlm.nih.gov/41727820/). *Radiol Case Rep*. [Case Report / Case Series]
Ryan IA (2026). [PMID: 41002227](https://pubmed.ncbi.nlm.nih.gov/41002227/). *J Craniofac Surg*. [Clinical Trial Publication]
Huang Y (2026). [PMID: 41850652](https://pubmed.ncbi.nlm.nih.gov/41850652/). *Dev Biol*. [Basic Science / Preclinical]
Iyyanar PPR (2026). [PMID: 41670220](https://pubmed.ncbi.nlm.nih.gov/41670220/). *Dis Model Mech*. [Basic Science / Preclinical]
Tran AJ (2026). [PMID: 41657552](https://pubmed.ncbi.nlm.nih.gov/41657552/). *Front Physiol*. [Basic Science / Preclinical]
Silva RCE (2026). [PMID: 39782701](https://pubmed.ncbi.nlm.nih.gov/39782701/). *Cleft Palate Craniofac J*. [Case Report / Case Series]
Yildizdal S (2026). [PMID: 41643346](https://pubmed.ncbi.nlm.nih.gov/41643346/). *J Plast Reconstr Aesthet Surg*. [Clinical Trial Publication]
Tran AJ (2025). [PMID: 41332626](https://pubmed.ncbi.nlm.nih.gov/41332626/). *bioRxiv*. [Basic Science / Preclinical]
Iwaya C (2025). [PMID: 40710321](https://pubmed.ncbi.nlm.nih.gov/40710321/). *Cells*. [Basic Science / Preclinical]