Ranta R, Rintala A
Scand J Plast Reconstr Surg. 1984;18(2):233-5. doi: 10.3109/02844318409052843.
Separate clefts of the lip and of the palate (CL-CP) may belong to the same etiological class as the cleft lip with or without cleft palate CL(P), or a child may have two separate anomalies, CL and CP. This theory was tested in Finnish cleft patients. Among 2471 cleft cases, there were 66 CL-CP (2.7%). Adequate medical records were available for 62 children: 45 boys (73%) and 17 girls (27%). Familial occurrence was recorded in 6 cases (10%). Of the cleft cases among the near relatives, 5 were CL(P) and one CP. The prevalence of hypodontia was 37% among 38 subjects studied, as compared with 8.2% in the CL-, 29.8% in the CP- and 48.1% in the CLP controls. Conical elevations of the lower lip were observed in none, as compared with 0.8% of the CL(P)- and 39% of the CP controls. It was therefore assumed that the CL-CP belongs to the same etiological class as the CL(P).
唇腭裂(CL-CP)可能与伴有或不伴有腭裂的唇裂(CL(P))属于同一病因类别,或者一个孩子可能有两种独立的异常情况,即唇裂(CL)和腭裂(CP)。该理论在芬兰腭裂患者中进行了验证。在2471例腭裂病例中,有66例唇腭裂(2.7%)。62名儿童有完整的病历:45名男孩(73%)和17名女孩(27%)。有6例(10%)记录有家族发病情况。在近亲中的腭裂病例中,5例为唇裂(CL(P)),1例为腭裂(CP)。在38名研究对象中,缺牙症的患病率为37%,而在唇裂(CL-)对照组中为8.2%,腭裂(CP-)对照组中为29.8%,唇腭裂(CLP)对照组中为48.1%。下唇未见锥形隆起,而在唇裂(CL(P))对照组中为0.8%,腭裂对照组中为39%。因此,推测唇腭裂(CL-CP)与唇裂(CL(P))属于同一病因类别。
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