Document Detail


Cleft palate in Pfeiffer syndrome.
MedLine Citation:
PMID:  19816260     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The frequency of associated cleft palate is known to be high in some fibroblast growth factor receptor 2 (FGFR2)-mediated craniosynostosis syndromes, such as Apert syndrome. However, there is little information on the frequency of palatal clefts in the FGFR2-mediated disorder, that is, Pfeiffer syndrome. The purpose of this study was to determine the frequency of palatal clefts in patients with Pfeiffer syndrome. The records of patients with Pfeiffer syndrome managed in our craniofacial unit were reviewed. Only patients with a confirmed diagnosis of Pfeiffer syndrome were included. Diagnostic criteria were as follows: characteristic mutations in FGFR1 or FGFR2 or, in the absence of genetic testing, clinical findings consistent with Pfeiffer syndrome as determined by a clinical geneticist or our most experienced surgeon (J.B.M.). Only 2 clefts were noted in 25 patients (8%), including 1 with a submucous cleft and 1 with an overt palatal cleft. Many patients (87%) were described as having a high-arched and narrow palate, and 1 had a low, broad palate. Nine patients were noted to have choanal atresia or stenosis. Clefting of the palate does occur in Pfeiffer syndrome but at a low frequency.
Authors:
Joan M Stoler; Heather Rosen; Urmen Desai; John B Mulliken; John G Meara; Gary F Rogers
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of craniofacial surgery     Volume:  20     ISSN:  1536-3732     ISO Abbreviation:  J Craniofac Surg     Publication Date:  2009 Sep 
Date Detail:
Created Date:  2009-10-09     Completed Date:  2010-01-28     Revised Date:  2010-05-26    
Medline Journal Info:
Nlm Unique ID:  9010410     Medline TA:  J Craniofac Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1375-7     Citation Subset:  D    
Affiliation:
Department of Genetics, Children's Hospital Boston and Harvard Medical School, 300 Longwood Avenue, Boston, MA 02115, USA.
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MeSH Terms
Descriptor/Qualifier:
Acrocephalosyndactylia / epidemiology*,  genetics
Boston / epidemiology
Choanal Atresia / epidemiology
Cleft Palate / epidemiology*
Female
Genetic Testing
Humans
Male
Mutation / genetics
Palate / abnormalities
Receptor, Fibroblast Growth Factor, Type 1 / genetics
Receptor, Fibroblast Growth Factor, Type 2 / genetics
Retrospective Studies
Velopharyngeal Insufficiency / epidemiology
Chemical
Reg. No./Substance:
EC 2.7.1.112/FGFR2 protein, human; EC 2.7.10.1/FGFR1 protein, human; EC 2.7.10.1/Receptor, Fibroblast Growth Factor, Type 1; EC 2.7.10.1/Receptor, Fibroblast Growth Factor, Type 2

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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