The role of different factors in the development of cleft lip, palate, or both

Authors

  • Natheer Ayed Jassem
  • Ghufran A. Hasan
  • Mudher MB. Alsunbuli

DOI:

https://doi.org/10.5195/d3000.2024.647

Keywords:

Alternative medicine, Cytotoxicity, Plant extract, Aristolochia cymbifera, Oral medicine

Abstract

Background: Cleft lip and cleft palate refer to congenital malformations characterized by fissures or divisions in the upper lip, the palatal region of the mouth, or both. Cleft lip and cleft palate occur due to incomplete closure of face tissues during fetal development.

Objective: To identify the primary elements that could contribute to the occurrence of cleft lip and palate.

Subjects and methods: The sample included 1080 patients distributed between cleft lip only, cleft palate only, and cleft lip and palate. Parents of participants answered questions related to their medical and exposure history. Subjects were seen over 13 years, from 1 January 2010 to 31 December 2022. Participants came to our hospital with ages from a few hours to 3 months.

Results: The distribution of cleft types in the sample was as follows: 11.6% had cleft lip alone, 29.5% had cleft palate exclusively, and 57.3% had both cleft lip and palate. The most significant number of patients, 28%, were found to be first-born individuals. The majority of dads who exhibited patience were aged 30 years or older, accounting for 65% of the sample. Among these individuals, 8.6% had a concurrent systemic ailment, while 40% were identified as smokers. Most moms were between the age range of 16 to 30 years (65.4%). Incorporate additional factors into the analysis, including the presence of familial cleft history and psychiatric disorders.

Conclusion: We found a high frequency of consanguinity between the parents maternal psychology factors such as fear, hearing bad news or hearing loud sounds like gunshots (prevalent during civilian war in Iraq between 2010-2014 years) among parents of children born with cleft lip and palate.

References

- Etiology, prenatal diagnosis, obstetrical management and recurrence of orofacial clefts; Wilkins-Haug L. 2015 May 12; Http://www.uptodate.com/home.

- Epidemiology of oral clefts in a large South American sample; Menegotta BG, Salzano FM.; (1991) 28(4): 373- 377

- Plastic surgery cleft lip and palate and craniofacial anomalies; McCarthy JG, James W, Littler J. (1990) Vol. (4), W.; Saunders Company.

- Influence of Maternal anaemia during early pregnancy on The development of cleft palate; Natsume N, Sugimoto S , Kawi I; Br G Maxillofac Surg; . (1990) 37(4): 330-331.

- Cleft lip and palate; Crockett DJ, et al... Facial Plastic Surgery Clinics of North America. 2014;22:573.

- Cleft lip and cleft palate. Centers for Disease Control and Prevention; Accessed, 2015 May 12; http://www.cdc.gov/ncbddd/ birth defects/cleftlip.html.

- Cleft lip and cleft palate. American Speech-Language-Hearing; .2015; Association.http://www.asha.org/ public/speech/disorders/cleft lip/.

- Incidence of cleft lip, cleft palate and cleft lip and palate among races; Apostole PV. A review. Cleft palate J(1987) (3):216-225

- Orthodontics and Pediatric dentistry Colour guide; Millett D, Welbury R. (2000): Toronto, Churchill Livingstone.

- Facial clefts and Craniosynostosis principles and management; Turvey TA, Vig KWL, FonsecaRJ, (1996), W.B.Saunders Company.

- Present status of drugs as teratogen in man; Wilson JG;1993; Teratology; 7:3-16

- Maternal, metabolic, endocrine, environmental influences in the etiology of cleft lip with or without cleft palate; Niebyl R,Blake , DA,Rocco LE, et al..: .cleft palate J(1985):22:20-28.

- Prenatal dexamethasone exposure in rats-effect of dose, age at exposure and drug-induced hypophagia on malformations and fetal organ weight; Laborde JB, Hansen DK, Young JF, Sheehan DM, Holson RR; Appl Toxicol(1992) 9( 4 )1;554-545

- Teratology in pediatric practice; Seaver H, Hoyme M: Medical Genetic;(1992)39(1):26-31

- Environment and genetics in the etiology of cleft lip and palate with reference to the role of folic acid; Bianchi E,Calzelar E,et al..:.Epidemiol Preven J;(2000)24(1):121-127.

- Etiology in colour atlas of cleft lip surgery; Maneksha M. (1986): Etiology in colour atlas of cleft lip surgery. Wolfe Year Book.

- cleft lip and palate genetic aspect; Abdul-Rahim KK: Iraqi dental J;(1987)206-219.

-Your baby's first year. Cleft Palate Foundation. http://www.cleftline.org/parents-individuals/publications/booklets/. Accessed May 13, 2015.

- Houston WJB, Stephens CD, Tully WJ. (1992): A textbook of orthodontics. 2nd Ed. Bristol Wright

- In-utero cleft lip repair in mice; Hallock GG; Plast.Reconst .Surg;(1985)75:785-791.

- Kinaan BK. (1990); Baghdad University . Iraqi-unpublished data. As cited by Manhal, 1990) .

- Cleft lip and palate in primary school's student of sadam city; Al-Zubaidee AF,Hammash MH; Baghdad.JFac Med Baghdad (1998): –;40(30):46-52

- Genetic of cleft lip and palate and associated congenital anomalies; Dawood T; (1997); Genetic of cleft lip and palate and associated congenital anomalies .A thesis Submitted to Iraqi Commission for Medical Specialization.

- A Study of cleft lip and / or palate in Iraqi infants; Manhal SH.; 1990) : A thesis submitted to the college of dentistry Baghdad University in partial fulfillment of the degree of Master of Science of orthodontics.

- Syndromes and anomalies associated with cleft; R. Venkatesh; Plast. Surg. doi: 2009 Oct; 42(Suppl): S51–S55. Indian J 10.4103/0970-0358.57187

Downloads

Published

2024-02-12

Issue

Section

Development of Craniofacial Structures