TYPES OF CONGENITAL MALFORMATIONS OF THE HEAD AND FACE

Cleft lip and palate: Cleft lip has an incidence of 1 per 1.000 births. Of which is seen more often in male than female, its incidence is slightly higher with increase material age and it varies in different population groups (Neel, 1999). The incidence of cleft lip increases in the next baby to 4% if the parents are normal, but have a child with cleft lip (Certis et al, 2000). The incidence however, increases to 9% of two previous births were affected, when one of the parent have cleft lip and they have child with same defect, the probability that the next baby will be
affected rises to 17% (Fraser, 1997).

 The frequency of cleft palate is much lower than that of the cleft lip and occurs in per 2500 births (Gorhn et al, 1999). It is seen more often in females to males and it is not related to maternal age. If the parents are normal and have one child with a cleft palate, the probability of the next child being affected is about 2%. If however, there is a similarity that affects relative of a parent and child with a cleft palate, the probability increase to 7% and 15% respectively (Fogl, 1998). It has been shown that in the female, the palate should fuse approximately one week later than in the male. This may explain why isolated cleft palate is seen more frequently in the females than in the males (Burdi, 1997).

Hydrocephalus: This is associated with anencephaly. It is as a result of ventricular enlargement with excessive accumulation of cerebrospinal fluid (CSF). In the cranium. It occurs when cerebrospinal fluid production exceeds re-absorbtion (Merck, 2003).and is the most common cause of abnormally large heads in new burns. The pressure of the fluid causes degeneration of nervous tissues (Singh, 2001). It may also be caused by obstruction to flow of cerebrospinal fluid by stenosis of the cerebral aqueduct.

Craniosynostosis: This is a congenital face defect, were the sutures of the skull bones fuse inappropriately and prematurely.

Plagiocephaly: In this type of face defect/deformity, the forehead and the brow stop growing. This face defect/deformity produces a flattening of the forehead and the brows on the affected side while the forehead on the opposite side, tends to be excessively prominent.

Brachycephaly: This type of craniofacial defects refers to a wide and high forehead region, and the eyes may appear wide apart.

Trigonocephaly: In this type of defect, the forehead looks pointed, like a triangle, with closely placed eyes. This face deformity occurs due to closure of a suture that runs from the top of the head down the middle of the forehead, toward the nose.

Scaphocephaly: This type of face defect occurs when the suture that runs front to back, down the middle of the top of the head fuses prematurely. As a result, the shape of the skull becomes long and narrow. The skull is long from front to back and narrow from ear to ear.

Facial Palsy: This occurs due to paralysis of the facial nerve. In this kind of face defect, there is loss of control over facial expressions.

Chin Deformity: In this type of face defect, the chin is usually small or may be unusually large.

Upper Jaw deformity: One of the most common types of upper jaw deformity is called vertical maxillary excess. In this facial defect, there is excess bone of the upper jaw, the face appears long, the chin is recessed and the nose is large in the profile view.

 Lower Jaw deformity: There are two most common mandibular deformities; mandibular excess and mandibular deformity.

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