Evidence map›Paper›PMID 41656184›Full record

ArticleBirth defects research2026

Timing of Secondary Palate Fusion in Human Embryos and Fetuses.

Puck Pauline Mulder, Jess Johanna Peters, Yousif Dawood, Karl Jacobs, Sophie Caroline Visser, Jaco Hagoort, Jermo Hanemaaijer-van der Veer, Robert Hemke, Eva Pajkrt, Roelof-Jan Oostra and 2 more

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Article in Birth defects research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

12 authors.

Puck Pauline MulderDepartment of Obstetrics and Gynecology, Amsterdam UMC Location University of Amsterdam, Amsterdam, the Netherlands.ORCID 0009-0001-0616-2006
Jess Johanna PetersAmsterdam Reproduction and Development Research Institute, Amsterdam, the Netherlands.
Yousif DawoodDepartment of Obstetrics and Gynecology, Amsterdam UMC Location University of Amsterdam, Amsterdam, the Netherlands.
Karl JacobsAmsterdam Reproduction and Development Research Institute, Amsterdam, the Netherlands.
Sophie Caroline VisserDepartment of Obstetrics and Gynecology, Amsterdam UMC Location University of Amsterdam, Amsterdam, the Netherlands.
Jaco HagoortDepartment of Medical Biology, Amsterdam UMC Location University of Amsterdam, Amsterdam, the Netherlands.
Jermo Hanemaaijer-van der VeerDepartment of Obstetrics and Gynecology, Amsterdam UMC Location University of Amsterdam, Amsterdam, the Netherlands.
Robert HemkeDepartment of Radiology and Nuclear Medicine, Amsterdam UMC Location University of Amsterdam, Amsterdam, the Netherlands.
Eva PajkrtDepartment of Obstetrics and Gynecology, Amsterdam UMC Location University of Amsterdam, Amsterdam, the Netherlands.
Roelof-Jan OostraAmsterdam Reproduction and Development Research Institute, Amsterdam, the Netherlands.ORCID 0000-0002-2452-8307
Corstiaan Cornelis BreugemAmsterdam Reproduction and Development Research Institute, Amsterdam, the Netherlands.
Bernadette Simone de BakkerDepartment of Obstetrics and Gynecology, Amsterdam UMC Location University of Amsterdam, Amsterdam, the Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe human face develops through a complex sequence of growth and fusion events involving multiple pharyngeal arch derivatives. Disruptions in these processes can result in congenital anomalies such as cleft lip and/or palate (CL/P), which occur in approximately 1.6 per 1000 live births in Europe. Patients with CL/P often experience difficulties regarding feeding and speech, and studies suggest an increased risk of psychosocial difficulties. Understanding the morphological development and timing of secondary palate formation is essential for clarifying the pathogenesis of CL/P and identifying critical developmental periods during pregnancy. In this study, we aimed to evaluate the timing and morphological changes of the secondary palate in human embryos between Carnegie Stages 17-23 and fetuses aged 9-11 weeks post-conception (PC).

methodsHistological sections and micro-CT scans of 26 human specimens, evenly distributed across these developmental stages, were analyzed.

resultsThe results showed that palatal shelves first appear at CS18 and continue vertical outgrowth until CS22. At CS22, the shelves start to reorient horizontally and further extend medially. Shelf contact is observed at CS23, marking the onset of fusion, which is completed during or after 9 weeks PC.

conclusionsThese findings refine the timeline of human secondary palate development. Importantly, identifying this critical developmental window suggests that current guidelines for administering medications during early pregnancy should be reevaluated, as drug exposure during this sensitive period may increase the risk of palatal malformations.

Indexed as

PalateCleft LipCleft PalateEmbryo, MammalianFemaleFetusHumansPregnancyX-Ray Microtomographycleft lip and palate (CL/P)histologyhuman embryoshuman fetusesmicro‐computed tomography (micro‐CT)palatal shelf fusionsecondary palate development

Identifiers

PMID41656184
PMCPMC12883575

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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.