Evidence map›Paper›PMID 32864445›Full record

ArticleLaryngoscope investigative otolaryngology2020

Moebius syndrome: Craniofacial clinical manifestations and their association with prenatal exposure to misoprostol.

Néstor O Ruge-Peña, Claudia Valencia, Dagoberto Cabrera, Daniel C Aguirre, Francisco Lopera

Abstract read
In one paragraph

Article in Laryngoscope investigative otolaryngology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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

5 citing papers in PubMed.

  1. Multimodality Craniofacial Phenotyping of Congenital Facial Weakness Disorders.The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association · 2026
    Article
  2. Article
  3. Review
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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

5 authors.

Néstor O Ruge-PeñaNeurosciences Group of Antioquia (GNA) University of Antioquia (UdeA) Medellin Colombia.ORCID https://orcid.org/0000-0003-3364-2205
Claudia ValenciaPsychology, GNA University of Antioquia (UdeA) Medellin Colombia.ORCID https://orcid.org/0000-0003-2949-123X
Dagoberto CabreraChildhood and Adolescence Diseases Clinical Research Group, Pediatric Sciences University of Antioquia (UdeA) Medellin Colombia.ORCID https://orcid.org/0000-0002-1757-6618
Daniel C AguirreEpidemiology, GNA, Institute of Medical Research, Faculty of Medicine University of Antioquia (UdeA) Medellin Colombia.
Francisco LoperaGNA, Faculty of Medicine University of Antioquia (UdeA) Medellin Colombia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA growing link between prenatal exposure to misoprostol (PEM) and Moebius syndrome (MS) or sequence has been reported. Our objectives were to describe the craniofacial clinical manifestations associated with MS and to determine the frequency of PEM, comparing cases of exposure and nonexposure.

methodsA descriptive, cross-sectional study of 140 patients with MS. Clinical evaluations, as well as 140 interviews with mothers residing in 39 cities or districts of Colombia, were carried out between April 2008 and May 2018. Additionally, previous clinical history of each case was reviewed.

resultsThe average age of the patients with MS was 8.4 years (29 days to 48 years). All of them presented facial nerve involvement and abducens, 112 (80.8%) with bilateral facial paralysis. 98.5% presented craniofacial disorders, and there were no significant differences between those exposed and not exposed to misoprostol. Forty-seven percentage of patients (64 cases) presented PEM, in 98.4% of which abortion had been intended.

conclusionPEM could have an influence in the appearance of new cases of MS by increasing the frequency of bleeding during gestation, without increasing the number of associated craniofacial malformations. We present the biggest series on MS and craniofacial findings in the literature, along with a meaningful reference for its understanding. LEVEL OF EVIDENCE: 3b.

Indexed as

abducens paralysiscraniofacial abnormalitiesfacial paralysisfailed abortionmisoprostol exposureMoebius syndrome

Identifiers

PMID32864445
PMCPMC7444781

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Registered trials

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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.