Renkema, RW;
Caron, CJJM;
Pauws, E;
Wolvius, EB;
Schipper, JAM;
Rooijers, W;
Dunaway, DJ;
... Koudstaal, MJ; + view all
(2019)
Extracraniofacial anomalies in craniofacial microsomia: retrospective analysis of 991 patients.
International Journal of Oral and Maxillofacial Surgery
, 48
(9)
pp. 1169-1176.
10.1016/j.ijom.2019.01.031.
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Abstract
Craniofacial microsomia (CFM) is characterized by unilateral or bilateral underdevelopment of the facial structures arising from the first and second pharyngeal arches, but extracraniofacial anomalies may also be present. This retrospective study provides an overview of the prevalence, types, and characteristics of extracraniofacial anomalies in patients with CFM. All patients diagnosed with CFM seen at four craniofacial centres were included. The patient charts were reviewed and data on patient characteristics and extracraniofacial anomalies were extracted. Of the 991 patients included, 462 (47%) had extracraniofacial anomalies. The prevalence of extracraniofacial anomalies in the various tracts was as follows: vertebral 28%, central nervous system 11%, circulatory system 21%, respiratory tract 3%, gastrointestinal tract 9%, and urogenital tract 11%. Compared to patients without extracraniofacial anomalies, those with an extracraniofacial anomaly were at higher risk of having additional extracraniofacial anomalies in other tracts. The prevalence of extracraniofacial anomalies was greater in patients with bilateral CFM, a more severe mandibular deformity, or facial nerve or soft tissue deformity. Patients with CFM should be screened for extracraniofacial anomalies by physical examination with specific attention to the circulatory, renal, and neurological tracts. Diagnostically, electrocardiography, echocardiography, spine radiography, and renal ultrasound should be performed for patients at risk of extracraniofacial anomalies.
| Type: | Article |
|---|---|
| Title: | Extracraniofacial anomalies in craniofacial microsomia: retrospective analysis of 991 patients |
| Location: | Denmark |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1016/j.ijom.2019.01.031 |
| Publisher version: | https://doi.org/10.1016/j.ijom.2019.01.031 |
| Language: | English |
| Additional information: | This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions. |
| Keywords: | Goldenhar syndrome, attention, branchial region, cardiovascular system, central nervous system, congenital anomalies, craniofacial microsomia, extracranial anomalies, extracraniofacial anomalies, face, gastrointestinal, hemifacial microsomia, humans, mandible, oculo-auriculo-vertebral syndrome, physical examination, prevalence, respiratory system, retrospective studies, screening, spine, urogenital, vertebral |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL GOS Institute of Child Health UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL GOS Institute of Child Health > Developmental Biology and Cancer Dept |
| URI: | https://discovery.ucl.ac.uk/id/eprint/10071177 |
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