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Published on: September 19, 2015
Cleft lip and palate: association with other congenital malformations
Soraya Beriaghi1, Sandra L Myers, Scott A Jensen
1Cleft Palate and Craniofacial Clinic, Division of Pediatric Dentistry School of Dentistry, University of Minnesota, Minneapolis, MN 55455, USA. beira001@umn.edu
Insights
Orofacial clefts often accompany other congenital anomalies. This study found 32.2% of patients had associated malformations, most frequently in the orofacial region, highlighting the need for comprehensive evaluation.
Area of Science:
- Medical Genetics
- Pediatric Surgery
- Developmental Biology
Background:
- Orofacial clefts are common congenital conditions.
- These conditions are frequently linked with other birth defects.
- Understanding the spectrum of associated anomalies is crucial for patient care.
Purpose of the Study:
- To investigate the prevalence and types of congenital malformations associated with orofacial clefts.
- To analyze differences in associated anomalies between cleft palate only (CP) and cleft lip with or without cleft palate (CL +/- P) patient groups.
Main Methods:
- Retrospective review of 1127 patients' medical records from a major research hospital's Cleft Palate/Craniofacial Clinic (1980-2000).
- Patients were classified into CP or CL +/- P groups.
- Associated malformations were categorized by location, type, and whether they were chromosomal/syndromic or non-chromosomal/syndromic.
Main Results:
- 32.2% of all patients with orofacial clefts exhibited associated congenital malformations.
- The orofacial region was the most common site for anomalies, followed by cardiovascular, central nervous, and skeletal systems.
- Congenital malformations were more prevalent in patients with cleft palate only (38.7%) compared to cleft lip +/- palate (26.4%). 63.1% of diagnosed malformations were chromosomal/syndromic.
Conclusions:
- A significant proportion of orofacial cleft patients present with associated congenital malformations.
- The orofacial region is the most commonly affected site.
- Identifying these associated anomalies is vital for guiding further diagnostic tests and genetic counseling.
Unlabelled:
Orofacial clefts are frequently associated with other congenital malformations. Studies vary in incidence and types of anomalies.
Objective:
To evaluate associated malformations in orofacial cleft patients at a major research hospital.
Study Design:
Medical records of 1127 patients, in the Cleft Palate/Craniofacial Clinic, Boys Town National Research Hospital, from January 1980 through February 2000 were reviewed. Patients were divided into two categories: 1) cleft palate only (CP), and 2) cleft lip, with or without cleft palate (CL +/- P). Further categorization included location and type, if any, of other congenital malformations.
Results:
47.2% of patients had CP and 52.8% had CL +/- P. 32.2% of all cleft patients had associated congenital malformations. The orofacial region was the most common site, followed by cardiovascular central nervous, and skeletal systems. Congenital malformations were more common in CP (38.7%), than CL +/- P (26.4%). Of malformations diagnosed, 63.1% were chromosomal/syndromic anomalies while 36.9% were non-chromosomal/syndromic.
Conclusions:
Recognition of the spectrum of congenital malformations, associated with orofacial clefting, is essential for further diagnostic testing and in some cases genetic counseling.
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