Revisiting the recurrence risk of nonsyndromic cleft lip with or without cleft palate
説明
<jats:title>Abstract</jats:title><jats:p>Sub‐epithelial defects (i.e., discontinuities) of the superior <jats:italic>orbicularis oris</jats:italic> (OO) muscle appear to be a part of the phenotypic spectrum of cleft lip with or without cleft palate (CL ± P). Analysis of the OO phenotype as a clinical tool is hypothesized to improve familial recurrence risk estimates of CL ± P. Study subjects (n = 3,912) were drawn from 835 families. Occurrences of CL ± P were compared in families with and without members with an OO defect. Empiric recurrence risks were calculated for CL ± P and OO defects among first‐degree relatives (FDRs). Risks were compared to published data and/or to other outcomes of this study using chi‐square or Fisher's exact tests. In our cohort, the occurrence of CL ± P was significantly increased in families with OO defects versus those without (<jats:italic>P</jats:italic> < 0.01, OR = 1.74). The total FDR recurrence of isolated OO defects in this cohort is 16.4%; the sibling recurrence is 17.2%. The chance for one or more FDRs of a CL ± P proband to have an OO defect is 11.4%; or 14.7% for a sibling. Conversely, the chance for any FDR of an individual with an OO defect to have CL ± P is 7.3%; or for a sibling, 3.3%; similar to published recurrence risk estimates of nonsyndromic (NS) CL ± P. This study supports sub‐epithelial OO muscle defects as being part of the CL ± P spectrum and suggests a modification to recurrence risk estimates of CL ± P by utilizing OO defect information. © 2010 Wiley‐Liss, Inc.</jats:p>
収録刊行物
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- American Journal of Medical Genetics Part A
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American Journal of Medical Genetics Part A 152A (11), 2697-2702, 2010-10-14
Wiley
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キーワード
詳細情報 詳細情報について
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- CRID
- 1361137044460858624
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- ISSN
- 15524833
- 15524825
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- データソース種別
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- Crossref