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Regional dispersion of non-syndromic cleft lip with/without palate Turkish children patients and possible geographical effects

Year 2012, Volume: 2 Issue: 4, 164 - 168, 30.01.2014

Abstract

Objective: Non-syndromic cleft lip with/without palate (NSCL/P) takes part in multifactorial anomalies. In the present retrospective-descriptive study, we aimed to evaluate the distribution of Turkish children patients with non-syndromic cleft lip with/ without palate according to the geographic regions and analyse the possible geographic and environmental effects which can be considered in the aetiology of the anomaly. 

Method: Information about the origin, nutritional habits including vitamin intake, occupational and lifetime status were obtained from mothers of NSCL/P patients who gave birth between July 2006 and June 2010. 

Results: When regional status was investigated, it was found that the eastern parts of Turkey have a relatively higher number of NSCL/P patients than other regions. The ratio of the affected boys to affected girls was found as 154/136. Also, the average age of the mothers at the time of delivery was found to be 24.7. None of the mothers used alcohol or smoked during their lives.

Conclusions: Regional differences in nutritional habits and life style have various effects on NSCL/P occurrence, nevertheless more detailed studies are needed to specify the major differences that are responsible.


Key words: Cleft lip, cleft palate, nutritional habits, life style, geographical dispersion

References

  • Presscot NJ, Winter RM, Malcolm S. Nonsyndromic cleft lip and palate: complex genetics and environmental effects. Ann Hum Genet 2001; 65: 505-515.
  • Stanier P, Moore GE. Genetics of cleft lip and palate: syndromic genes contribute to the incidence of non-syndromic clefts. Hum Mol Genet 2004; 13: 73-81.
  • Batra P, Duggal R, Parkash H. Genetics of cleft lip and palate revisited. J Clin Pediatr Dent 2003; 27(4):311-320.
  • Viera AR. Medical sequencing for candidate genes for nonsyndromic cleft lip and palate. Plos Genetic 2005; 1(6): e64.
  • Murray JC. Gene/environment causes of cleft lip and/or palate. Clin Gen 2002; 61: 248- 256.
  • Tinanoff N. Cleft lip and palate. In: Kliegman RM, Behrman RE, Jenson HB, Stanton BMD, eds. Nelson Textbook of Pediatrics, 18th edition. Philadelphia: Saunders Elsevier 2007:1532–1533.
  • Fallin MD, Hetmanski JB, Park J, Scott AF, Ingersoll R, Fuernkranz HA, McIntosh I, Beaty TH. Family-based analysis of MSX1 haplotypes for association with oral clefts. Genet Epidemiol 2003; 25(2): 168-175.
  • Lammer E, Shaw G, Iovannisci D, Finnell R. Periconceptional multivitamin intake during early pregnancy, genetic variation of acetyl-n-transferase 1 (NATI1), and risk for orofacial clefts. Birth Defects Res A Clin Mol Teratol 2004; 70: 846-852.
  • Lorente C, Cordier S, Goujard J, Ayme S, Bianchi F, Calzolari E, De Walle HE, Knill-Jones R. Tobacco and alcohol use during pregnancy and risk of oral clefts. Am J Public Health 2000; 90: 415-419.
  • Meyer KA, Werler MM, Hayes C, Mitchell AA. Low maternal alcohol consumption during pregnancy and oral clefts in offspring: the Slone Birth Defects Study. Birth Defects Res Part A Clin Mol Teratol 2003; 67(7): 509-514.
  • Turkish Statistical Institute. Annual economical activity branches of the male and female employees. Available at: www.tuik.gov.tr. Accessed in 2009.
  • Turkish Statistical Institute. Regional food consumption status in Turkey. Available at: www.tuik.gov.tr. Accessed in 2004.
  • Kim S, Kim JW, Oh C, Kim JC. Cleft lip and palate incidence among the live birts in the republic of Korea. J Korean Med Sci 2002; 17: 49-52.
  • Wyszynski DF, Beaty TH. Review of the role of potential teratogens in the origin of human nonsyndromic oral clefts. Teratology 1996; 53: 309-317.
  • Cordier S, Bergeret A, Goujard J, Ha MC, Aye S, Bianchi F, Calzolari E, De Walle HE, Knill-Jones R, Candela S, Dale I, Dananché B, de Vigan C, Foote J, Kiel G, Mandereau L.Congenital malformations and maternal occupational exposure to glycol ethers. Occupational Exposure and Congenital Malformations Working Group. Epidemiology 1997; 8: 355-363.
  • Lorente C, Cordier S, Bergeret A, De Walle HE, Goujard J, Ayme S, Knill-Jones R, Calzolari E, Bianchi F. Maternal occupational risk factors for oral clefts. Occupational Exposure and Congenital Malformation Working Group. Scand J Work Environ Health 2000; 26(2): 137-145.
  • Turkish Statistical Institute. Percent distribution of the de facto household population age six and over by highest level of education attended, according to selected background characteristics. Available at: www.tuik.gov.tr. Accessed in 2003.
  • Krapels I, van Rooj I, Weavers R, Zielhuis G, Spauwen P, Brussel W, Steegers- Theunissen R. Myo-inositol, glucose, and zinc status as risk factors for non-syndromic cleft lip with or without cleft palate in offspring: a case-control study. BJOG 2004; 111(7): 661-668.
  • Shaw GM, Croen LA, Curry CJ. Isolated oral cleft malformations: associations with maternal and infant characteristics in a California population. Teratology 1991; 43: 225-228.
  • Vallino-Napoli LD, Riley MM, Halliday J. An epidemiologic study of isolated cleft lip, palate, or both in Victoria, Australia from 1983 to 2000. Cleft Palate Craniofac J 2004; 41(2): 185-194.
  • Reefhuis J, Honein MA. Maternal age and non-chromosomal birth defects, Atlanta 1968-2000: teenager or thirty-something, who is at risk? Birth Defects Res Part A Clin Mol Teratol 2004; 70(9): 572-579.
  • Turkish Statistical Institute. Births by age group of mother. Available at: www.tuik.gov.tr. Accessed in 2009.
  • Wyszynski DF, Duffy DL, Beaty TH. Maternal cigarette smoking and oral clefts: A meta-analysis. Cleft Palate Craniofac J 1997;34(3):206- 210.
  • Leite ICG, Koifman S. Oral clefts, consanguinity, parental tobacco and alcohol use: a case-control study in Rio de Janeiro, Brazil. Braz Oral Res 2009;23(1):31-37.
  • Lie RT, Wilcox AJ, Taylor J, Gjessing HK, Saugstad OD, Aabyholm F, Vindenes H. Maternal smoking and oral clefts: the role of detoxification pathway genes. Epidemiology 2008; 19(4):606-615.
  • Jia ZL, Shi B, Chen CH, Shi JY, Wu J, Xu X. Maternal malnutrition, environmental exposure during pregnancy and the risk of non- syndromic orofacial clefts. Oral Dis 2011;17(6):584-589.
  • Reddy SG, Reddy RR, Bronkhorst EM, Prasad R, Ettema AM, Sailer HF, Bergé SJ. Incidence of cleft lip and palate in the state of Andhra Pradesh, South India. Indian J Plast Surg 2010;43(2):184-189.
  • Jamilian A, Nayeri F, Babayan A. Incidence of cleft lip and palate in Tehran. J Indian Soc Pedod Prev Dent 2007;25(4):174-176.
  • Aziza A, Kandasamy R, Shazia S. Pattern of craniofacial anomalies seen in a tertiary care hospital in Saudi Arabia. Ann Saudi Med 2011;31(5):488-493.
  • Rajabian MH, Aghaei S. Cleft lip and palate in southwestern Iran: an epidemiologic study of live births. Ann Saudi Med 2005; 25(5): 385- 388.
  • Li Z, Ren A, Liu J, Zhang L, Ye R, Li S, Li Z. High prevalence of orofacial clefts in Shanxi Province in northern China, 2003-2004. Am J Med Genet A 2008; 15: 2637-2643.
  • Elliot FR, Jovic G, Beveridge M. Seasonal variation and regional distribution of cleft lip and palate in Zambia. Cleft Palate Craniofac J 2008; 45(5): 533-538.
  • Suleiman AM, Hamzah ST, Abusalab MA, Samaan KT. Prevalence of cleft lip and palate in a hospital-based population in the Sudan. Int J Paediatr Dent 2005; 15(3): 185-189.

İzole dudak-damak yarıklı Türk çocuk hastaların bölgesel dağılımı ve olası bölgesel etkiler

Year 2012, Volume: 2 Issue: 4, 164 - 168, 30.01.2014

Abstract

Amaç: İzole dudak-damak yarıkları multifaktöriyel anomaliler arasında yer almaktadır. Bu retrospektif-tanımlayıcı çalışmada izole dudak-damak yarıklı Türk çocuk hastaların Türkiye’deki bölgesel dağılımlarını inceleyerek bölgesel ve yaşam tarzlarının, anomalinin oluşmasındaki olası etkilerini saptamayı amaçladık. 

Yöntem: Temmuz 2006-Haziran 2010 yılları arasında doğum yapan yarık dudak- damaklı çocukların annelerinden; kökenleri, vitamin alımı dahil beslenme alışkanlıkları, iş ve yaşam biçimleri hakkında bilgi toplanmıştır. 

Bulgular: Bölgesel olarak incelendiğinde Türkiye’nin doğu bölgelerinde izole dudak- damak yarık vakalarının diğer bölgelere göre daha yüksek sayıda olduğu tespit edilmiştir. Etkilenen erkek çocukların kız çocuklara oranının 154/136 olduğu saptanmıştır. Annelerin doğum anlarındaki ortalama yaşının ise 24,7 olduğu belirlenmiştir. Çalışmamıza katılan anneler hayatları boyunca alkol veya sigara kullanmamıştır.

Sonuç: Beslenme alışkanlıkları ve yaşam standartları bölgesel olarak değişmektedir ve bu değişimlerin izole dudak-damak yarık oluşumu üzerine etkileri vardır. Ancak sorumlu farklılıkların saptanabilmesi için daha detaylı çalışmalara ihtiyaç duyulmaktadır.



Anahtar Kelimeler : Dudak-damak yarıkları, beslenme alışkanlıkları, yaşam şekli, bölgesel dağılım

References

  • Presscot NJ, Winter RM, Malcolm S. Nonsyndromic cleft lip and palate: complex genetics and environmental effects. Ann Hum Genet 2001; 65: 505-515.
  • Stanier P, Moore GE. Genetics of cleft lip and palate: syndromic genes contribute to the incidence of non-syndromic clefts. Hum Mol Genet 2004; 13: 73-81.
  • Batra P, Duggal R, Parkash H. Genetics of cleft lip and palate revisited. J Clin Pediatr Dent 2003; 27(4):311-320.
  • Viera AR. Medical sequencing for candidate genes for nonsyndromic cleft lip and palate. Plos Genetic 2005; 1(6): e64.
  • Murray JC. Gene/environment causes of cleft lip and/or palate. Clin Gen 2002; 61: 248- 256.
  • Tinanoff N. Cleft lip and palate. In: Kliegman RM, Behrman RE, Jenson HB, Stanton BMD, eds. Nelson Textbook of Pediatrics, 18th edition. Philadelphia: Saunders Elsevier 2007:1532–1533.
  • Fallin MD, Hetmanski JB, Park J, Scott AF, Ingersoll R, Fuernkranz HA, McIntosh I, Beaty TH. Family-based analysis of MSX1 haplotypes for association with oral clefts. Genet Epidemiol 2003; 25(2): 168-175.
  • Lammer E, Shaw G, Iovannisci D, Finnell R. Periconceptional multivitamin intake during early pregnancy, genetic variation of acetyl-n-transferase 1 (NATI1), and risk for orofacial clefts. Birth Defects Res A Clin Mol Teratol 2004; 70: 846-852.
  • Lorente C, Cordier S, Goujard J, Ayme S, Bianchi F, Calzolari E, De Walle HE, Knill-Jones R. Tobacco and alcohol use during pregnancy and risk of oral clefts. Am J Public Health 2000; 90: 415-419.
  • Meyer KA, Werler MM, Hayes C, Mitchell AA. Low maternal alcohol consumption during pregnancy and oral clefts in offspring: the Slone Birth Defects Study. Birth Defects Res Part A Clin Mol Teratol 2003; 67(7): 509-514.
  • Turkish Statistical Institute. Annual economical activity branches of the male and female employees. Available at: www.tuik.gov.tr. Accessed in 2009.
  • Turkish Statistical Institute. Regional food consumption status in Turkey. Available at: www.tuik.gov.tr. Accessed in 2004.
  • Kim S, Kim JW, Oh C, Kim JC. Cleft lip and palate incidence among the live birts in the republic of Korea. J Korean Med Sci 2002; 17: 49-52.
  • Wyszynski DF, Beaty TH. Review of the role of potential teratogens in the origin of human nonsyndromic oral clefts. Teratology 1996; 53: 309-317.
  • Cordier S, Bergeret A, Goujard J, Ha MC, Aye S, Bianchi F, Calzolari E, De Walle HE, Knill-Jones R, Candela S, Dale I, Dananché B, de Vigan C, Foote J, Kiel G, Mandereau L.Congenital malformations and maternal occupational exposure to glycol ethers. Occupational Exposure and Congenital Malformations Working Group. Epidemiology 1997; 8: 355-363.
  • Lorente C, Cordier S, Bergeret A, De Walle HE, Goujard J, Ayme S, Knill-Jones R, Calzolari E, Bianchi F. Maternal occupational risk factors for oral clefts. Occupational Exposure and Congenital Malformation Working Group. Scand J Work Environ Health 2000; 26(2): 137-145.
  • Turkish Statistical Institute. Percent distribution of the de facto household population age six and over by highest level of education attended, according to selected background characteristics. Available at: www.tuik.gov.tr. Accessed in 2003.
  • Krapels I, van Rooj I, Weavers R, Zielhuis G, Spauwen P, Brussel W, Steegers- Theunissen R. Myo-inositol, glucose, and zinc status as risk factors for non-syndromic cleft lip with or without cleft palate in offspring: a case-control study. BJOG 2004; 111(7): 661-668.
  • Shaw GM, Croen LA, Curry CJ. Isolated oral cleft malformations: associations with maternal and infant characteristics in a California population. Teratology 1991; 43: 225-228.
  • Vallino-Napoli LD, Riley MM, Halliday J. An epidemiologic study of isolated cleft lip, palate, or both in Victoria, Australia from 1983 to 2000. Cleft Palate Craniofac J 2004; 41(2): 185-194.
  • Reefhuis J, Honein MA. Maternal age and non-chromosomal birth defects, Atlanta 1968-2000: teenager or thirty-something, who is at risk? Birth Defects Res Part A Clin Mol Teratol 2004; 70(9): 572-579.
  • Turkish Statistical Institute. Births by age group of mother. Available at: www.tuik.gov.tr. Accessed in 2009.
  • Wyszynski DF, Duffy DL, Beaty TH. Maternal cigarette smoking and oral clefts: A meta-analysis. Cleft Palate Craniofac J 1997;34(3):206- 210.
  • Leite ICG, Koifman S. Oral clefts, consanguinity, parental tobacco and alcohol use: a case-control study in Rio de Janeiro, Brazil. Braz Oral Res 2009;23(1):31-37.
  • Lie RT, Wilcox AJ, Taylor J, Gjessing HK, Saugstad OD, Aabyholm F, Vindenes H. Maternal smoking and oral clefts: the role of detoxification pathway genes. Epidemiology 2008; 19(4):606-615.
  • Jia ZL, Shi B, Chen CH, Shi JY, Wu J, Xu X. Maternal malnutrition, environmental exposure during pregnancy and the risk of non- syndromic orofacial clefts. Oral Dis 2011;17(6):584-589.
  • Reddy SG, Reddy RR, Bronkhorst EM, Prasad R, Ettema AM, Sailer HF, Bergé SJ. Incidence of cleft lip and palate in the state of Andhra Pradesh, South India. Indian J Plast Surg 2010;43(2):184-189.
  • Jamilian A, Nayeri F, Babayan A. Incidence of cleft lip and palate in Tehran. J Indian Soc Pedod Prev Dent 2007;25(4):174-176.
  • Aziza A, Kandasamy R, Shazia S. Pattern of craniofacial anomalies seen in a tertiary care hospital in Saudi Arabia. Ann Saudi Med 2011;31(5):488-493.
  • Rajabian MH, Aghaei S. Cleft lip and palate in southwestern Iran: an epidemiologic study of live births. Ann Saudi Med 2005; 25(5): 385- 388.
  • Li Z, Ren A, Liu J, Zhang L, Ye R, Li S, Li Z. High prevalence of orofacial clefts in Shanxi Province in northern China, 2003-2004. Am J Med Genet A 2008; 15: 2637-2643.
  • Elliot FR, Jovic G, Beveridge M. Seasonal variation and regional distribution of cleft lip and palate in Zambia. Cleft Palate Craniofac J 2008; 45(5): 533-538.
  • Suleiman AM, Hamzah ST, Abusalab MA, Samaan KT. Prevalence of cleft lip and palate in a hospital-based population in the Sudan. Int J Paediatr Dent 2005; 15(3): 185-189.
There are 33 citations in total.

Details

Primary Language Turkish
Journal Section Articles
Authors

Korkut Ulucan

Arzu Akçay This is me

Burak Ersoy This is me

Deniz Kiraç This is me

Teoman Akçay This is me

Deniz Ergeç This is me

Ahmet İlter Güney This is me

Publication Date January 30, 2014
Submission Date January 30, 2014
Published in Issue Year 2012 Volume: 2 Issue: 4

Cite

APA Ulucan, K., Akçay, A., Ersoy, B., Kiraç, D., et al. (2014). İzole dudak-damak yarıklı Türk çocuk hastaların bölgesel dağılımı ve olası bölgesel etkiler. Clinical and Experimental Health Sciences, 2(4), 164-168.
AMA Ulucan K, Akçay A, Ersoy B, Kiraç D, Akçay T, Ergeç D, Güney Aİ. İzole dudak-damak yarıklı Türk çocuk hastaların bölgesel dağılımı ve olası bölgesel etkiler. Clinical and Experimental Health Sciences. February 2014;2(4):164-168.
Chicago Ulucan, Korkut, Arzu Akçay, Burak Ersoy, Deniz Kiraç, Teoman Akçay, Deniz Ergeç, and Ahmet İlter Güney. “İzole Dudak-Damak yarıklı Türk çocuk hastaların bölgesel dağılımı Ve Olası bölgesel Etkiler”. Clinical and Experimental Health Sciences 2, no. 4 (February 2014): 164-68.
EndNote Ulucan K, Akçay A, Ersoy B, Kiraç D, Akçay T, Ergeç D, Güney Aİ (February 1, 2014) İzole dudak-damak yarıklı Türk çocuk hastaların bölgesel dağılımı ve olası bölgesel etkiler. Clinical and Experimental Health Sciences 2 4 164–168.
IEEE K. Ulucan, A. Akçay, B. Ersoy, D. Kiraç, T. Akçay, D. Ergeç, and A. İ. Güney, “İzole dudak-damak yarıklı Türk çocuk hastaların bölgesel dağılımı ve olası bölgesel etkiler”, Clinical and Experimental Health Sciences, vol. 2, no. 4, pp. 164–168, 2014.
ISNAD Ulucan, Korkut et al. “İzole Dudak-Damak yarıklı Türk çocuk hastaların bölgesel dağılımı Ve Olası bölgesel Etkiler”. Clinical and Experimental Health Sciences 2/4 (February 2014), 164-168.
JAMA Ulucan K, Akçay A, Ersoy B, Kiraç D, Akçay T, Ergeç D, Güney Aİ. İzole dudak-damak yarıklı Türk çocuk hastaların bölgesel dağılımı ve olası bölgesel etkiler. Clinical and Experimental Health Sciences. 2014;2:164–168.
MLA Ulucan, Korkut et al. “İzole Dudak-Damak yarıklı Türk çocuk hastaların bölgesel dağılımı Ve Olası bölgesel Etkiler”. Clinical and Experimental Health Sciences, vol. 2, no. 4, 2014, pp. 164-8.
Vancouver Ulucan K, Akçay A, Ersoy B, Kiraç D, Akçay T, Ergeç D, Güney Aİ. İzole dudak-damak yarıklı Türk çocuk hastaların bölgesel dağılımı ve olası bölgesel etkiler. Clinical and Experimental Health Sciences. 2014;2(4):164-8.

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