Cleft lip and cleft palate

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Risk factors

By Mayo Clinic staff

Several factors may increase the likelihood of a baby developing a cleft lip and cleft palate.

  • Family history. Parents with a family history of cleft lip or cleft palate face a higher risk of having a baby with a cleft.
  • Race. Cleft lip and palate are most common in American Indian and Asian children. Black children are least likely to have a cleft.
  • Sex. Males are twice as likely to have a cleft lip with or without cleft palate. Cleft palate without cleft lip is more common in females.
  • Environmental factors. Exposure in early pregnancy to cigarette smoke, alcohol or illicit drugs may put a baby at higher risk of developing a cleft.
  • Maternal obesity. Obesity in the mother is associated with a slightly increased risk of cleft lip and palate.
References
  1. Cleft lip and cleft palate. March of Dimes. http://www.marchofdimes.com/printableArticles/14332_1210.asp. Accessed April 5, 2009.
  2. Moreau JL, et al. Tissue engineering solutions for cleft palates. Journal of Oral and Maxillofacial Surgery. 2007;65:2503.
  3. Cleft lip and palate repair. American Society of Plastic Surgeons. www1.plasticsurgery.org/ebusiness4/ProductCatalog/pdf/brochures/Cleft_Lip.pdf. Accessed April 5, 2010.
  4. Mossey PA, et al. Cleft lip and palate. The Lancet. 2009;374:1773.
  5. Hoffman WY. Cleft Lip & Palate. In: Lalwani AK. Current Diagnosis & Treatment in Otolaryngology — Head & Neck Surgery. 2nd ed. New York, N.Y.: McGraw-Hill; 2008. http://www.accessmedicine.com/content.aspx?aID=2826340&searchStr=cleft+lip#2826340. Accessed April 5, 2010.
  6. Craniofacial abnormalities. The Merck Manuals: The Merck Manual for Healthcare Professionals. http://www.merck.com/mmpe/print/see19/ch288/ch288d.html. Accessed April 5, 2010.
  7. Burns JL. Plastic surgery (cleft lip and palate). In: Townsend CM Jr, et al. Sabiston Textbook of Surgery. 18th ed. Philadelphia, Pa.: Saunders Elsevier; 2008. http://www.mdconsult.com/das/book/body/1932697333/978681486/1565/708.html#4-u1.0-B978-1-4160-3675-3..50077-0--cesec9_4303. Accessed April 5, 2010.
  8. Wilkins-Haug L. Prenatal diagnosis of orofacial clefts. http://www.uptodate.com/home/index.html. Accessed April 5, 2010.
  9. Stothard KJ, et al. Maternal overweight and obesity and the risk of congenital anomalies: A systematic review and meta-analysis. JAMA. 2009;301:636.
  10. The school years: An introduction to psychology. Cleft Lip & Palate Association. http://www.clapa.com/news/article/901/. Accessed April 9, 2010.
DS00738 April 23, 2010

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