Document Detail


A comparison of two classification systems for hemifacial microsomia.
MedLine Citation:
PMID:  8471584     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The classification of hemifacial microsomia (HFM) aids in diagnosis, treatment planning, prognostic predictions and data evaluation. The aetiological and phenotypic heterogeneities of HFM, however, make its classification problematic. This study used data from 50 patients to examine the classification of HFM and to compare two systems: OMENS and SAT. The results were concordant with current literature and demonstrated the phenotypic heterogeneity of HFM. Essentially, both classifications embody the major craniofacial defects, but the OMENS system appears to be further refined by its differentiation between soft tissue and nerve defects, and between orbital and mandibular defects. Neither system, however, records deafness or grades auricular tags, although tags occurred in 34% of cases and two patients with otherwise 'normal' ears had tags. Therefore, it is suggested that auricular tags be graded as minor ear malformations. Furthermore, the OMENS system could be strengthened by the addition of an asterisk to the acronym in cases with serious non-craniofacial anomalies, for example OMENS*. This adds little complexity to the acronym, but immediately indicates when a patient's features lie towards the more generalised oculoauriculovertebral end of the phenotypic spectrum.
Authors:
R R Cousley
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The British journal of oral & maxillofacial surgery     Volume:  31     ISSN:  0266-4356     ISO Abbreviation:  Br J Oral Maxillofac Surg     Publication Date:  1993 Apr 
Date Detail:
Created Date:  1993-05-20     Completed Date:  1993-05-20     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8405235     Medline TA:  Br J Oral Maxillofac Surg     Country:  SCOTLAND    
Other Details:
Languages:  eng     Pagination:  78-82     Citation Subset:  D; IM    
Affiliation:
School of Clinical Dentistry, Queen's University of Belfast, Northern Ireland.
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MeSH Terms
Descriptor/Qualifier:
Abnormalities, Multiple / classification,  diagnosis*
Cranial Nerves / abnormalities
Ear, External / abnormalities
Face / abnormalities
Facial Asymmetry / classification*,  complications,  pathology
Hearing Disorders / congenital,  etiology
Humans
Mandible / abnormalities
Orbit / abnormalities

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


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