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Meaning and Clinical Interest of Minor Malformations and Normal Variants in Neonatology

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06 sept 2024

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Mehes’ scheme of minor malformations (10)

Head and neck: Small mandible, Prominent forehead, Flat occiput, Prominent occiput, Extra posterior cervical skin Foot: Partial syndactyly 2nd and 3rd toes, Wide distance between 1st and 2nd toes, Broad hallux, Hallux dorsiflexion, Prominent heal
Eye: Epicanthic folds, Mongoloid slant, Antimongoloid slant, Short palpebral fissures, Hypertelorism, Ptosis Thorax: Short sternum, Accessory nipples, Wide set nipples
Ears: Small ears, Asymmetrical size, Poorly modeled ears, Low-set ears, Preauricular tags, Preauricular fistula Abdomen: Umbilical hernia, Inguinal hernia, Moderrate rectal diastasis
Mouth: Small oral opening, Large tongue, High-arched palate, Bifid uvula Skin: Raised and large hemangioma(s) Large pigmented nevi, Deep sacral dimple
Hand: Simian crease, Clinodactyly, Single crease on 5th fingers

Frequency of minor malformations in newborns with some type of major malformation

Minor malformations N % χ2 df p
Wide distance between 1st and 2nd toes 7 43,75 20.22 23 0.63
Extra posterior cervical skin 6 37.5
High-arched palate 6 37,5
Hypertelorism 5 31,25
Small mandible 5 31,25
Small ears 5 31,25
Epicanthic folds 4 25
Prominent heal 4 25
Clinodactyly 4 25
Simian crease 4 25

Ten most frequent minor malformations

Minor malformations N % χ2 df p
Deep sacral dimple 89 44,72 182.31 9 <0.01
Poorly modeled ears 30 15,08
Moderate rectal diastasis 29 14,57
Hypertelorism 18 9.05
Wide distance between st and 2nd toes 18 9.05
High-arched palate 18 9.05
Small mandible 17 8.54
Low-set ears 17 8.54
Preauricular tags 12 6.03
Extra posterior cervical skin 12 6.03
Idioma:
Inglés
Calendario de la edición:
2 veces al año
Temas de la revista:
Medicina, Ciencias médicas básicas, Ciencias médicas básicas, otros