Determination of Extra Craniofacial Abnormalities in Patients With Craniofacial Microsomia.


Journal

The Journal of craniofacial surgery
ISSN: 1536-3732
Titre abrégé: J Craniofac Surg
Pays: United States
ID NLM: 9010410

Informations de publication

Date de publication:
Historique:
pubmed: 16 7 2021
medline: 4 1 2022
entrez: 15 7 2021
Statut: ppublish

Résumé

Craniofacial microsomia (CFM) is caused by abnormalities in the development of the first and second pharyngeal arches. One-third to half of the patients with CFM also present with extra craniofacial (ECF) malformations. The knowledge of the visceral alteration related to CFM is vital for optimized care and a better prognosis. To describe the incidence of ECF malformations in patients with CFM and to infer if there was a correlation between CFM and ECF malformations. The authors analyzed medical records of patients diagnosed with CFM from 1996 to 2006. The data collected included age, gender, category of craniofacial alteration, and the type of ECF malformation when present. The sample was inspected to find possible correlations between craniofacial abnormalities and ECF malformations. The sample included 102 patients, with a mean age of 7 years and a predominance of males (61.8%). Ear malformations (93.1%) followed by mandible (59.8%) and facial nerve (10.8%) abnormalities were the most common CFM. Among patients with CFM, 37.2% had ECF involvement, mainly in vertebrae (20%), heart (11%), and limbs (9.8%). Multivariate analysis revealed that the presence of ear malformations was related to a higher incidence of nonspecific visceral malformations (P = 0.034) and that mandible malformation was related to an increased incidence of vertebral malformations (P = 0.008). A significant percentage of patients with CFM presented associated ECF impairment. Ear and mandible involvement may be predictors of nonspecific visceral malformation and vertebral malformations, respectively.

Identifiants

pubmed: 34261967
doi: 10.1097/SCS.0000000000007962
pii: 00001665-900000000-92432
doi:

Types de publication

Journal Article

Langues

eng

Pagination

230-232

Informations de copyright

Copyright © 2021 by Mutaz B. Habal, MD.

Déclaration de conflit d'intérêts

The authors report no conflicts of interest.

Références

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Auteurs

Barbara Kawano Raposo (BK)

Complexo Hospital de Clínicas, Federal University of Parana, Curitiba.

Guilherme Bail Ferreira (GB)

Complexo Hospital de Clínicas, Federal University of Parana, Curitiba.

Alfredo Benjamin Duarte E Silva (ABDE)

Federal University of Paraná.

Maria Cecília Closs Ono (MCC)

Federal University of Paraná.
Assistance Center for Cleft Lip and Palate, Hospital do Trabalhador, Curitiba, Brazil.

Josiane de Souza (J)

Assistance Center for Cleft Lip and Palate, Hospital do Trabalhador, Curitiba, Brazil.

Renato da Silva Freitas (R)

Federal University of Paraná.
Assistance Center for Cleft Lip and Palate, Hospital do Trabalhador, Curitiba, Brazil.

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