Evidence map›Paper›PMID 29616161›Full record

ArticlePlastic and reconstructive surgery. Global open2018

Associated Malformations in Children with Orofacial Clefts in Portugal: A 31-Year Study.

Alice V Pereira, Nuno Fradinho, Sara Carmo, Juliana M de Sousa, David Rasteiro, Regina Duarte, Maria J Leal

Open access · goldAbstract read
In one paragraph

Article in Plastic and reconstructive surgery. Global open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
2.4field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 41 citations in OpenAlex.

  1. Longitudinal Speech Outcomes in Foreign-Born and Native-Born Children in Sweden with Cleft Palate, and Influence of Palatal Surgery Timing.The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association · 2026
    Article
  2. Speech Outcomes in 5-Year-Olds Born With Cleft Palate With and Without Robin Sequence-A Swedish Registry Study.The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association · 2026
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  6. Underreporting of oral cleft cases: a descriptive study, western Paraná, 2015-2019.Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil · 2026
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  9. Cleft lip Sidedness and the Association with Additional Congenital Malformations.The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association · 2025
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  14. Birth Defect Co-Occurrence Patterns Among Infants With Cleft Lip and/or Palate.The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Alice V PereiraServiço de Cirurgia Plástica Reconstrutiva, Hospital de São José, Centro Hospitalar de Lisboa Central, Lisboa, Portugal; and Serviço de Cirurgia Pediátrica, Hospital de Dona Estefânia, Centro Hospitalar de Lisboa Central, Lisboa, Portugal.
Nuno FradinhoServiço de Cirurgia Plástica Reconstrutiva, Hospital de São José, Centro Hospitalar de Lisboa Central, Lisboa, Portugal; and Serviço de Cirurgia Pediátrica, Hospital de Dona Estefânia, Centro Hospitalar de Lisboa Central, Lisboa, Portugal.
Sara CarmoServiço de Cirurgia Plástica Reconstrutiva, Hospital de São José, Centro Hospitalar de Lisboa Central, Lisboa, Portugal; and Serviço de Cirurgia Pediátrica, Hospital de Dona Estefânia, Centro Hospitalar de Lisboa Central, Lisboa, Portugal.
Juliana M de SousaServiço de Cirurgia Plástica Reconstrutiva, Hospital de São José, Centro Hospitalar de Lisboa Central, Lisboa, Portugal; and Serviço de Cirurgia Pediátrica, Hospital de Dona Estefânia, Centro Hospitalar de Lisboa Central, Lisboa, Portugal.
David RasteiroServiço de Cirurgia Plástica Reconstrutiva, Hospital de São José, Centro Hospitalar de Lisboa Central, Lisboa, Portugal; and Serviço de Cirurgia Pediátrica, Hospital de Dona Estefânia, Centro Hospitalar de Lisboa Central, Lisboa, Portugal.
Regina DuarteServiço de Cirurgia Plástica Reconstrutiva, Hospital de São José, Centro Hospitalar de Lisboa Central, Lisboa, Portugal; and Serviço de Cirurgia Pediátrica, Hospital de Dona Estefânia, Centro Hospitalar de Lisboa Central, Lisboa, Portugal.
Maria J LealServiço de Cirurgia Plástica Reconstrutiva, Hospital de São José, Centro Hospitalar de Lisboa Central, Lisboa, Portugal; and Serviço de Cirurgia Pediátrica, Hospital de Dona Estefânia, Centro Hospitalar de Lisboa Central, Lisboa, Portugal.
Hospital de Dona Estefânia · PT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOrofacial clefts are among the most common congenital craniofacial malformations and may be associated with other birth defects. However, the proportion and type of additional anomalies vary greatly between studies. This study assessed the prevalence and type of associated congenital malformations in children with orofacial clefts, who attended the largest cleft lip and palate tertiary referral center in Portugal.

methodsConsecutive children with orofacial clefts who attended at least 1 consultation in our Clefts Unit between 1981 and 2012 were studied. Demographic and clinical data regarding the number and type of associated malformations were retrospectively collected and analyzed.

resultsOf the 701 patients studied, 219 (31.2%) had associated congenital malformations. These malformations were more frequent in children with cleft palate (43.4%) than in children with cleft lip and palate (27.5%) or with cleft lip only (19.4%). Within the group with associated anomalies, 73 cases (33.3%) had conditions related with known chromosomal defects, monogenic syndromes or sequences, and 146 cases (66.7%) had multiple congenital anomalies of unknown origin. From those, head and neck malformations were the most common (60.3%), followed by malformations in the cardiovascular (28.3%) and musculoskeletal systems (26%).

conclusionsThe overall prevalence of associated malformations of nearly 1 in 3 children with orofacial clefts stressed the need for a comprehensive evaluation of these patients by a multidisciplinary cleft team. Moreover, one-third of the children had multiple congenital anomalies of known origins. Thus, early routine screening for other malformations and genetic counseling might be valuable for orofacial clefts management.

Identifiers

PMID29616161
PMCPMC5865923
OpenAlexW2792701463

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.