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Mueller, AA; Sader, R; Honigmann, K; Zeilhofer, HF; Schwenzer-Zimmerer, K.
Central nervous malformations in presence of clefts reflect developmental interplay.
Int J Oral Maxillofac Surg. 2007; 36(4): 289-295.
Doi: 10.1016/j.ijom.2006.10.018
Web of Science
PubMed
FullText
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- Co-authors Med Uni Graz
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Schwenzer-Zimmerer Katja Christine
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- Abstract:
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Children with cleft lip and/or cleft palate (CLP) often have additional congenital malformations. The reported incidences are variable and presumed underlying mechanisms are rarely discussed. In this study, 245 CLP patients of a geographically defined population were retrospectively reviewed for additional major malformations and minor anomalies. Malformation incidences in the CLP population were compared to those in a literature-based cohort from the general population. Of the CLP patients, 21% showed either major malformations or minor anomalies. In one-fifth of them a recognized syndrome was identified. Two thirds of the CLP patients with minor anomalies also had major malformations. Major malformations in non-syndromic CLP patients were found with decreasing frequency in the musculoskeletal (5.1%), central nervous (4.2%), urogenital (3.8%) and cardiovascular (3.4%) systems. Malformations in these organ systems and minor anomalies should be ruled out by a specialist. The rise in malformation incidence, when compared to the general population, was highest for organs of ectodermal and ecto-mesodermal origin: central nervous system (13 times), ocular (7 times) and craniofacial system (7 times). The result reflects the close interplay of craniofacial and brain development.
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Abnormalities, Multiple - epidemiology
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Cardiovascular Abnormalities - epidemiology
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Child, Preschool -
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Cleft Lip - epidemiology
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Cleft Palate - epidemiology
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Cohort Studies -
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Craniofacial Abnormalities - epidemiology
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Cross-Sectional Studies -
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Cross-Sectional Studies - epidemiology
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Eye Abnormalities - epidemiology
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Humans -
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Incidence -
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Infant -
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Infant, Newborn -
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Musculoskeletal Abnormalities - epidemiology
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Nervous System Malformations - epidemiology
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Retrospective Studies -
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Syndrome -
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Urogenital Abnormalities - epidemiology
- Find related publications in this database (Keywords)
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cleft lip
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cleft palate
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multiple abnormalities
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associations
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malformations
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congenital