Vacterl syndrome: Medical and stomatological considerations for comprehensive patient management.

التفاصيل البيبلوغرافية
العنوان: Vacterl syndrome: Medical and stomatological considerations for comprehensive patient management.
المؤلفون: Do Amaral COF; Faculty of Dentistry, University of Oeste Paulista - Unoeste, São Paulo, Brazil., Souza AFFB; Dentistry - University of Western Sao Paulo - Unoeste, São Paulo, Brazil., Carlucci GP; Dentistry - University of Western Sao Paulo - Unoeste, São Paulo, Brazil., Lima LDS; Dentistry - University of Western Sao Paulo - Unoeste, São Paulo, Brazil., Amaral MOFD; Medical School, University of West São Paulo, São Paulo, Brazil., Straioto FG; Department of Prosthodontics and Geriatic Dentistry, Dental School, University of Western Sao Paulo, São Paulo, Brazil.
المصدر: Special care in dentistry : official publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry [Spec Care Dentist] 2024 May 02. Date of Electronic Publication: 2024 May 02.
Publication Model: Ahead of Print
نوع المنشور: Case Reports
اللغة: English
بيانات الدورية: Publisher: American Dental Association Country of Publication: United States NLM ID: 8103755 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1754-4505 (Electronic) Linking ISSN: 02751879 NLM ISO Abbreviation: Spec Care Dentist Subsets: MEDLINE
أسماء مطبوعة: Original Publication: [Chicago : American Dental Association, c1981-
مستخلص: Aim: The VACTERL association or Syndrome consists of Vertebral, Anorectal, Cardiac, Tracheo-Esophageal, Renal, and Limb defects. The diagnosis relies on the presence of at least three of these structural abnormalities. This study reports a single case of a patient with VACTERL Syndrome (VS), aiming to assist dentists in recognizing the general aspects, systemic changes, and oral care related to this condition.
Case Report: A 14-year-old female patient medically diagnosed with VS. The study evaluated the presence of systemic alterations, medication use, behavioral deviations, cognitive development, and oral aspects. The patient exhibited cardiovascular alterations including a ventricular septal defect (C), anal atresia (A), polydactyly (considered limb alteration-L), and scoliosis (a possible indication of vertebral anomalies-V). In the intraoral examination, findings included tooth crowding, enamel hypomineralization in several teeth, a deep and atretic palate, generalized gingivitis, bleeding, gingival hyperplasia, Class III malocclusion, and a right unilateral crossbite.
Conclusion: Patients diagnosed with VACTERL syndrome experience significant systemic impairments. The research subject presented compromised oral health, challenges in dental management, delays in neuropsychomotor development, though these are not inherent to the syndrome. It is crucial to prevent oral diseases and provide early dental care for these patients to avoid the need for complex and invasive dental treatments due to systemic impairments.
(© 2024 Special Care Dentistry Association and Wiley Periodicals LLC.)
References: Santos J, Nogueira R, Pinto R, Cerveira I, Pereira S, First trimester diagnosis of VACTERL association. Clin Pract. 2013;3(1):e5. doi:10.4081/cp.2013.e5.
Solomon BD. VACTERL/VATER Association. Orphanet J Rare Dis. 2011;6:56. doi:10.1186/1750‐1172‐6‐56.
Keckler SJ, Peter SDS, Valusek PA, et al. VACTERL anomalies in patients with esophageal atresia: an updated delineation of the spectrum and a review of the literature. Pediatr Surg Int. 2007;23:309‐313.
La Placa SL, Giuffrè M, Gangemi A, et al. Esophageal atresia in newborns: a wide spectrum from isolated forms to a full VACTERL phenotype? Ital J Pediatr. 2013:39‐45.
Hatemi AC, Gursoy M, Ceviker K, et al. Ventricular septal defect closure in a patient with VACTERL syndrome. Tex Heart Inst J. 2008;35(2):203‐205.
Hilger A, Schramm C, Draaken M, et al. Familial occurrence of the VATER/VACTERL association. Pediatr Surg Int. 2012;28:725‐729.
Hilger A, Schramm C, Pennimpede T, et al. Additional microduplications at 1q41, 2q37.3, and 8q24.3 in patients with VATER/VACTERL association. Eur J Hum Genet. 2013;21:1377‐1382.
Bernardi P, Graziadio C, Rosa RFM, Pfeil JN, Zen PRG, Paskulin GA. Dimelia fibular and mirror polydactyly of the foot in a girl presenting additional features of VACTER association. Sao Paulo Med J. 2010;128(2).
Wilbur JL, Hwang S, Yoon R, Chussid S. VACTERL Association: a dental case study. Columbia Dent Rev. 2010;14:2009‐2010.
Padma S, Shanmuga P, Sonik B. A case of VACTERL and non‐VACTERL association without the “V and L”. Indian J Nucl Med. 2014;29(1):46‐49.
Cunningham ME, Charles G, Boachie‐Adje O. Posterior vertebral column resection for Vater/VACTERL associated spinal deformity: a case report. HSSJ. 2007;3:71‐76.
Velazquez D, Pereira E, Havranek T. Neonate with VACTERL association and a branchial arch anomaly without hydrocephalus. AJP Rep. 2016;6(1):74‐76.
Solomon BD, Pineda‐Alvarez DE, Raam MS, Cummings DAT. Evidence for inheritance in patients with VACTERL association. Hum Genet. 2010;127(6):731‐733.
Chen Y, Liu Z, Chen J, et al. The genetic landscape and clinical implications of vertebral anomalies in VACTERL association. J Med Genet. 2016;53(7):431‐437.
Khalid S, Faizan M, Khalid M. Congenital longitudinal radial deficiency in infants: spectrum of isolated cases to VACTERL syndrome. J Clin Neonatol. 2013;2(4):193‐195.
Goes BFR, Rodrigues CH, Hishimura G. Report of a case of association of VACTERL and discussion about its prognostic aspects. Med (Ribeirão Preto). 2017;50(3):201‐205.
Rueda SCM, Arenas LAR, Zambrano FAR. Presentation of a case with multiple congenital malformations: asociación VACTERL. Med Unab. 2011;14(2):132‐137.
Barros MNF, Gaujac C, Trento CL, Andrade MCV. Treatment of cardiac patients in the dental clinic. Rev Health Res. 2011;4(1):109‐114.
Amaral COF, Logar AG, Parisi AG, Takahashi K, Straioto FG. General and stomatologic aspects of Bardet‐Biedl syndrome. J Craniofac Surg. 2014;25(6):575‐578.
Kassa AM, Engvall G, Engstrand Lilja H. Young children with severe congenital malformations (VACTERL) express mixed feelings about their condition and worries about needles and anaesthesia. Acta Paediatr. 2017;106(10):1694‐1701.
Yiğit T, Kırzıoğlub Z, Alparb R. Vacterl syndrome: different dental findings. Turk J Med Sci Life. 2021;4(1):7‐10.
Brasil. Ministério da Saúde. Secretaria de Atenção Primária à Saúde. Guia de Atenção à Saúde Bucal da Pessoa com Deficiência. Brasília (DF): Ministério da Saúde, 2019.
American Academy of Pediatric Dentistry. Behavior guidance for the pediatric dental patient. The reference manual of pediatric dentistry. Chicago, Ill. Am Acad of Pediatr Dent. 2023:359‐377.
American Academy of Pediatric Dentistry. Management of dental patients with special health care needs. The reference manual of pediatric dentistry. Chicago, Ill. Am Acad of Pediatr Dent. 2023:337‐344.
فهرسة مساهمة: Keywords: congenital abnormalities; multiple abnormalities; oral health; syndrome
تواريخ الأحداث: Date Created: 20240502 Latest Revision: 20240502
رمز التحديث: 20240502
DOI: 10.1111/scd.13006
PMID: 38693821
قاعدة البيانات: MEDLINE
الوصف
تدمد:1754-4505
DOI:10.1111/scd.13006