Van der Woude syndrome- a syndromic form of orofacial clefting

Abstract

Van der Woude Syndrome is the most common form of syndromic orofacial clefting, accounting for 2% of all cases, and has the phenotype that most closely resembles the more common non-syndromic forms. The syndrome has an autosomal dominant hereditary pattern with variable expressivity and a high degree of penetrance with cardinal clinical features of lip pits with a cleft lip, cleft palate, or both. This case report describes van der Woude syndrome in a 19 year old male patient with a specific reference to the various aspects of this condition, as clinical appearance, etiological factors (genetic aspects), differential diagnosis, investigative procedures and management. Key words:Cleft palate, cleft lip, lip pits, van der Woude syndrome, syndromic clefting.

Figure 1

Extra oral features of patient showing the bilateral paramedian lower lip pits and the surgically repaired cleft of upper lip.

Figure 2

Intraoral features of patient showing the cleft palate with missing lateral incisors.

Figure 3

Intraoral features of patient showing the cross bite of arches and evident enamel hypoplasia of teeth.