Cleft lip and palate: series of unusual clinical cases

Braz J Otorhinolaryngol. 2010 Sep-Oct;76(5):649-53. doi: 10.1590/S1808-86942010000500019.
[Article in English, Portuguese]

Abstract

Cleft lip and/or palate (CL/P) represent the most common congenital anomalies of the face, corresponding to approximately 65% of all malformations of the craniofacial region.

Aim: to describe unusual clinical cases of non-syndromic CL/P (CL/PNS), diagnosed in a reference service in Minas Gerais, Brazil, and correlate these alterations with possible risk factors.

Materials and methods: we carried out a retrospective study, between the years of 1992 and the 1st half of 2009, from medical records.

Results: Among the 778 cases of CL/PNS diagnosed in the period of 17 years, 5 (0.64%) were unusual CL/PNS, and all patients were male. It was found that among the 5 patients, 2 had incomplete right cleft lip with incomplete cleft palate, 2 were affected by left incomplete cleft lip and incomplete cleft palate, and 1 had a cleft lip and palate associated with complete right cleft palate. Risk factors such as consanguinity, maternal smoking and alcohol consumption, medication usage during pregnancy, history of abortion and/or stillbirths and maternal diseases were not associated with unusual CL/PNS.

Conclusions: This study described 5 unusual cases of CL/PNS in a Brazilian population; no associations with the risk factors analyzed were seen. It also confirmed the unusualness of the prevalence of such alterations.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Brazil / epidemiology
  • Child, Preschool
  • Cleft Lip / epidemiology
  • Cleft Lip / etiology*
  • Cleft Palate / epidemiology
  • Cleft Palate / etiology*
  • Consanguinity
  • Humans
  • Infant
  • Infant, Newborn
  • Lip / abnormalities
  • Male
  • Palate / abnormalities
  • Prevalence
  • Retrospective Studies
  • Risk Factors
  • Sex Factors
  • Smoking / adverse effects