10/22: Craniofacial mutations Flashcards

1
Q

1/50 infants born with a genetic condition is attributed to

A

Single major mutation

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2
Q

Chromosome disorders

A

Aneuploidy, deletions

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3
Q

Single gene disorders

A

dominant, recessive, codominant

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4
Q

multifactorial gene diseases

A

multiple genes, gene environment

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5
Q

Aneuploidy

A
  • aberration in chromosome #
  • faulty segregation of chromosomes during mitosis/meiosis
  • 1/400 infants
  • Female meiosis I
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6
Q

down syndrome

A
  • Full or partial extra copy of chrom 21
  • 1 in 700 babies
  • Most common chrom condition
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7
Q

95% of cases of down syndrome are

A

Nondisjunction

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8
Q

the only factor that has been linked to an increased chance of having a baby with Down syndrome resulting from
nondisjunction or mosaicism

A

maternal age

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9
Q

Down syndrome characteristics

A
  • low muscle tone
  • small stature
  • cog delay
  • transverse palmar crease
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10
Q

How can down syndrome affect patients?

A
  • Heartburn wears on the enamel
  • Sleep apnea
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11
Q

What 3 questions should you ask a patient with down syndrome?

A
  1. Heart defects
  2. Spinal problems
  3. Seizures
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12
Q

Chromosomal rearrangements

A

chromosome breakage or recomb btwn mispaired chromosomes during meiosis

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13
Q

Cri-du-Chat Syndrome

A
  • High-pitched cry
  • sounds like a cat
  • 1 in 20-50,000
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14
Q

Cri-du-Chat

A
  • affects intellectual and development
  • microcephaly
  • low birth weight
  • hypotonia
  • transverse palmar
  • heart defects
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15
Q

Facial features of Cri du chat syndrome

A
  • hypertelorism (wideset eyes)
  • low set ears
  • micrognathia
  • moon facies
  • epicanthal folds
  • broad nasal bridge
  • palpebral fissures
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16
Q

Dominant single gene mutation

A

Heterozygotes, a single copy of the mutation
- severe dominant often caused by new mutation

17
Q

Recessive single-gene mutation

A

homozygotes

18
Q

Multifactorial diseases (polygenic/complex)

A

not a single mutation, interacting genes and environment risk factors
- allergies
- heart disease

19
Q

There are multiple neural crests; why is the palate a common birth defect but not others?

A

Other cleft defects are not compatible with life

20
Q

What do cleft lip and palate deformities usually affect in the dentition?

A

laterals and canines (primary palate)

21
Q

What is palatogenesis, and why is it important?

A

Formation of the secondary plate, separates nasal cavity from oral cavity

22
Q

Palatogenesis: Week 7

A

growth - median palatal process (medial nasal and frontonasal processes) - forms the primary palate

23
Q

Palatogenesis: Week 8

A

Elevation:
The nasal septum is derived from the frontonasal prominence
Palatal shelves are derived from the maxillary process of the first pharyngeal arch

24
Q

Palatogenesis: Week 9

A

Fusion: The secondary palate is formed - separates the nasal cavity from oral cavity

25
Q

What is the secondary palate needed for?

A

-swallowing
-taste
-vomiting
-breathing
-speaking

26
Q

CPO is a result of (3)

A

failed palatogenesis:
-Failure in growth (7)
-Failure in elevation (8)
-failure in fusion (9)

27
Q

CP in CL/CP (cleft lip with cleft palate)

A

Cleft palate is a secondary defect from a failed lip fusion (week 4-7)

28
Q

Cleft palate a phenotype of a known syndrome accounts for

A

30% of cases

29
Q

Some of identified causes for cleft palare

A

Environmental
- alcohol
- phenytoin
- retinoic acid
- radiation (X-rays)
- TCDD…
Nutritional / metabolic
- low methionine
- low folic acid
- maternal DM
- hypervit. A
Genetic 350+: Mendelian disorders, chromosomal aberrations

30
Q

Cleft lip and palate causes

A

● babies: failure of suckling, later eating
problems
● dental defects, malocclusion
● speech difficulties
● infectious complications, hearing
impairment

31
Q

Problem caused by therapy of cleft palate

A

Defective maxillary growth