CRANIOFACIAL AND OTHER TYPICAL DEFICITS IN CHILDREN WITH FOETAL ALCOHOL SYNDROME – FAS IN THE CONTEXT OF FOETAL ALCOHOL SPECTRUM DISORDERS
Authors:
Vodičková Barbora 1; Mitašíková Petra 1
Authors‘ workplace:
Univerzita Komenského v Bratislave, Katedra liečebnej pedagogiky
Published in:
Listy klinické logopedie 2023; 7(1): 31-38
Category:
Main topic
doi:
https://doi.org/10.36833/lkl.2023.012
Overview
The article describes the impact of prenatal alcohol exposure (PAE) in the context of the development of craniofacial and other typical deficits in children with foetal alcohol syndrome – FAS. FAS is the most serious diagnosis of foetal alcohol spectrum disorders – FASD. FASD is a non-diagnostic umbrella term for possible consequences of PAE. It is a set of anatomical malformations and neurodevelopmental abnormalities created during intrauterine development of an individual due to alcohol consumption by the mother during pregnancy. There are several diagnostic manuals worldwide for the diagnosis of FASD, including FAS. The 4-Digit Code according to Astley (2004) is currently used in Slovakia. The given manual has a very well-researched section on the diagnosis of craniofacial deficits. In FAS, the typical signs on the face are what are called the sentinel facial features. These include a short palpebral fissure, a narrow upper lip, and a smooth crease between the nose and the upper lip. From the point of view of Speech Therapy, it is also important to know about anomalies in the development of the teeth, lips, palate, nose, ears and eyes. As part of the aetiology of craniofacial and other typical deficits, molecular, biochemical, cellular and embryonic mechanisms are generally mentioned.
Keywords:
Foetal Alcohol Syndrome – Foetal Alcohol Spectrum Disorders – Prenatal Alcohol Exposure – craniofacial deficits
Sources
- ASTLEY HEMINGWAY, S. J., 2020. High facial specificity and positive predictive value are required to diagnose fetal alcohol syndrome when prenatal alcohol exposure is unknown. Advances Pediatric Research. 7(44), s. 1-11. DOI: 10.35248/2385-4529.20.7.44. ASTLEY, S. J., 2004. Diagnostic Guide for Fetal Alcohol Spectrum Disorders: The 4-Digit Diagnostic Code. Third Edition. Seattle, Washington: Center on Human Development and Disability, School of Public Health and Community Medicine, University of Washington. [cit 2021-06-15] Dostupné na: https://digital.lib.washington.edu/researchworks/handle/1773/46588
- ASTLEY, S. J., AYLWARD, E. H., OLSON, H. C., KERNS, K., BROOKS, A., COGGINS, T. E., DAVIES, J., DORN, S., GENDLER, B., JIRIKOWIC, T., KRAEGEL, P., MARAVILLA, K., RICHARDS, T., 2009. Magnetic resonance imaging outcomes from a comprehensive magnetic resonance study of children with fetal alcohol spectrum disorders. Alcoholism, clinical and experimental research. 33(10), s. 1671-1689. DOI: 10.1111/j.1530-0277.2009.01004.x. Australian guide to the diagnosis of FASD Section C: Assessing sentinel facial features and Appendices C & D., s. 31-34, 74-78. [cit 2021-04-15] Dostupné na: https://www.fasdhub.org.au/siteassets/pdfs/section-c-assessing-sentinel-facial-features--appendices-c-and-d.pdf
- BHATARA, V., LOUDENBERG, R., ELLIS, R., 2006. Association of attention deficit hyperactivity disorder and gestational alcohol exposure: An exploratory study. Journal of attention disorders. 9(3), s. 515-522. DOI: 0.1177/1087054705283880.
- BLANCK-LUBARSCH, M., DIRKSEN, D., FELDMANN, R., SAUERLAND, C., HOHOFF, A., 2019. Tooth Malformations, DMFT Index, Speech Impairment and Oral Habits in Patients with Fetal Alcohol Syndrome. International journal of environmental research and public health. 16(22), 4401. DOI: 10.3390/ijerph16224401.
- BROWN, J. M., BLAND, R., JONSSON, E., GREENSHAW, A. J., 2019. The standardization of diagnostic criteria for fetal alcohol spectrum disorder (FASD): Implications for research, clinical practice and population health. Canadian journal of psychiatry. 64(3), s. 169-176. DOI: 10.1177/0706743718777398.
- CARTWRIGHT, M. M., TESSMER, L. L., SMITH, S. M., 1998. Ethanol-induced neural crest apoptosis is coincident with their endogenous death, but is mechanistically distinct. Alcoholism, clinical and experimental research. 22(1), s. 142-149. Dostupné na: https://pubmed.ncbi.nlm.nih.gov/9514299/ CENTER FOR SUBSTANCE ABUSE PREVENTION, 2014. Addressing Fetal Alcohol Spectrum Disorders (FASD). Treatment Improvement Protocol (TIP) Series 58. Dostupné na: https://www.ncbi.nlm.nih.gov/books/NBK344239/ Centers for disease control and prevention, cdc. 2021. Basics about FASDs. [online] [cit 2021-3-15]. Dostupné na: https://www.cdc.gov/ ncbddd/fasd/facts.html
- DOMEIJ, H., FAHLSTRÖM, G., BERTILSSON, G., HULTCRANTZ, M., MUNTHE-KAAS, H., NEHLIN GORDH, CH., HELGESSON, G., 2018. Experiences of living with fetal alcohol spectrum disorders: A systematic review and synthesis of qualitative data. Developmental Medicine and Child Neurology vol. 60(8), s. 741-752. DOI: 10.1111/dmcn.13696.
- HEALTHY CHILD MANITOBA, 2010. What Early Child Educators Need to Know about FASD. Manitoba: Healthy Child Manitoba, 58 s.
- HOYME, H. E., KALBERG, W. O., ELLIOTT, A. J., et al., 2016. Updated Clinical Guidelines for Diagnosing Fetal Alcohol Spectrum Disorders. Pediatrics. 138(2), e20154256. DOI: 10.1542/peds.2015-4256.
- CHAUDHURI J. D., 2000. Alcohol and the developing fetus--a review. Medical science monitor : international medical journal of experimental and clinical research. 6(5), s. 1031-1041. Dostupné na: https://pubmed.ncbi.nlm.nih.gov/11208451/
- CHURCH, M. W., ABEL, E. L., 1998. Fetal alcohol syndrome. Hearing, speech, language, and vestibular disorders. Obstetrics and gynecology clinics of North America. 25(1), s. 85-97. DOI: 10.1016/s0889-8545(05)70359-4.
- CHURCH, M. W., ELDIS, F., BLAKLEY, B. W., BAWLE, E. V., 1997. Hearing, language, speech, vestibular, and dentofacial disorders in fetal alcohol syndrome. Alcoholism, clinical and experimental research. 21(2), s. 227-237. Dostupné na: https://pubmed.ncbi.nlm.nih.gov/9113257/ ICD10., 2021. ICD-10-CM Code Q86.0. [online] [cit 2021-03-07]. Dostupné na: https://icdlist.com/icd-10/Q86.0
- JONES, K. L., SMITH, D. W., 1973a. Recognition of the fetal alcohol syndrome in early infancy. Lancet. 302(7836), s. 999-1001. DOI: 10.1016/s0140-6736(73)91092-1.
- JONES, K. L., SMITH, D. W., ULLELAND, C. N., STREISSGUTH, P., 1973b. Pattern of malformation in offspring of chronic alcoholic mothers. Lancet (London, England). 1(7815), s. 1267-1271. DOI: 10.1016/s0140-6736(73)91291-9.
- LANGE, S., PROBST, C., GMEL, G., REHM, J., BURD, L., POPOVA, S., 2017. Global Prevalence of Fetal Alcohol Spectrum Disorder Among Children and Youth: A Systematic Review and Meta-analysis. JAMA pediatrics. 171(10), s. 948-956. DOI: 10.1001/ jamapediatrics.2017.1919.
- LIM, Y. H., WATKINS, R. E., JONES, H., KIPPIN, N. R., FINLAY-JONES, A., 2022. Fetal alcohol spectrum disorders screening tools: A systematic review. Research in developmental disabilities, 122, 104168. DOI: 10.1016/j.ridd.2021.104168.
- MATTSON, S. N., BERNES, G. A., DOYLE, L. R., 2019. Fetal alcohol spectrum disorders: A review of the neurobehavioral deficits associated with prenatal alcohol exposure. Alcoholism, clinical and experimental research. 43(6), s. 1046-1062. DOI: 10.1111/acer.14040.
- MAY, P. A., MARAIS, A. S., DE VRIES, M. M., BUCKLEY, D., KALBERG, W. O., HASKEN, J. M., STEGALL, J. M., HEDRICK, D. M., ROBINSON, L. K., MANNING, M. A., TABACHNICK, B. G., SEEDAT, S., PARRY, C. D. H., HOYME, H. E., 2021. The prevalence, child characteristics, and maternal risk factors for the continuum of fetal alcohol spectrum disorders: A sixth population-based study in the same South African community. Drug and alcohol dependence, 218, 108408. DOI: 10.1016/j.drugalcdep.2020.108408.
- MAY, P. A., BAETE, A., RUSSO, J., ELLIOTT, A. J., BLANKENSHIP, J., KALBERG, W. O., BUCKLEY, D., BROOKS, M., HASKEN, J., ABDUL-RAHMAN, O., ADAM, M. P., ROBINSON, L. K., MANNING, M., & HOYME, H. E., 2014. Prevalence and characteristics of fetal alcohol spectrum disorders. Pediatrics, 134(5), s. 855-866. DOI: 10.1542/peds.2013-3319.
- MILLIANS, M. N., 2015. Educational Needs and Care of Children with FASD. Curr Dev Disord Rep. 2(2015), s. 210–218. DOI: 10.1007/ s40474-015-0055-5.
- MITAŠÍKOVÁ, P., VODIČKOVÁ, B., 2022a. Neuropsychologické špecifiká v kontexte porúch fetálneho alkoholového spektra (FASD). Logopaedica. 24(1), s. 3-8. ISSN 2453-8450.
- MITAŠÍKOVÁ, P., VODIČKOVÁ, B., 2022b. Quality of Life of Children with Fetal Alcohol Spectrum Disorders (FASD) and their Parents/Caregivers in the Context of Developmental Support and Inclusion in Slovakia. International E-Journal of Advances in Social Sciences. 8(22), s. 17-29. DOI: 10.18769/ijasos.1070749.
- NAIDOO, S., CHIKTE, U., LAUBSCHER, R., LOMBARD, C. 2005. Fetal alcohol syndrome: anthropometric and oral health status. The journal of contemporary dental practice. 6(4), s. 101–115. Dostupné na: https://pubmed.ncbi.nlm.nih.gov/16299612/ Národné centrum zdravotníckych informácií (NCZI). 2020a. Poškodenie zdravia konzumáciou alkoholu. [cit 2021-4-15]. Dostupné na: http://www.nczisk.sk/Statisticke_vystupy/Tematicke_statisticke_vystupy/Poskodenie_zdravia_konzumaciou_alkoholu/Pages/default.aspx Národné centrum zdravotníckych informácií (NCZI). 2020b. Poškodenie zdravia konzumáciou alkoholu v Slovenskej republike 2019. [cit 2021-4-2]. Dostupné na: http://data.nczisk.sk/statisticke_vystupy/Poskodenie_zdravia_konzumaciou_alkoholu/Poskodenia_ zdravia_konzumaciou_alkoholu_v_SR_2019_Sprava_k_publikovanym_vystupom.pdf National Institute on Alcohol Abuse and Alcoholism. Tenth Special Report to the U.S. Congress on Alcohol and Health: Highlights from Current Research. NIH Publication No. 00–1583. Bethesda, MD: Department of Health and Human Services; 2000.
- OLSON, H. C., JIRIKOWIC, T., KARTIN, D., ASTLEY, S., 2007. Responding to the Challenge of Early Intervention for Fetal Alcohol Spectrum Disorders. Infants & Young Children. 20(2), s. 172-189. Dostupné na: https://depts.washington.edu/fasdpn/pdfs/olson2007.pdf
- O‘NEIL, E., 2010. Abnormality tváre fetálneho alkoholového syndrómu (FAS). Encyklopédia projektu embryí (2010-09-28). [cit 2021-093-15]. ISSN: 1940-5030. Dostupné na: http://embryo.asu.edu/handle/10776/2076
- PETRELLI, B., BENDELAC, L., HICKS, G. G,. FAINSOD, A., 2019. Insights into retinoic acid deficiency and the induction of craniofacial malformations and microcephaly in fetal alcohol spectrum disorder. Genesis-The Journal of Genetics and Development. 57(1). DOI: 10.1002/dvg.23278.
- POPOVA, S., LANGE, S., SHIELD, K., BURD, L., REHM, J., 2019. Prevalence of fetal alcohol spectrum disorder among special subpopulations: a systematic review and meta-analysis. Addiction (Abingdon, England). 114(7), s. 1150-1172. DOI: 10.1111/add.14598.
- RASMUSSEN, C., ANDREW, G., ZWAIGENBAUM, L., TOUGH, S., 2008. Neurobehavioural outcomes of children with fetal alcohol spectrum disorders: A Canadian perspective. Paediatrics & child health. 13(3), s. 185-191. Dostupné na: https://pubmed.ncbi.nlm.nih.gov/19252695/ SAMHSA. United States Department of Health and Human Services Substance Abuse and Mental Health Services Administration Center for Substance Abuse Prevention. The Language of Fetal Alcohol Spectrum Disorders. [cit 2021-03-15]. Dostupné na: http://fascenter.samhsa.gov/documents/WYNKLanguageFASD2.pdf
- SANT'ANNA, L. B., TOSELLO, D. O., 2006. Fetal alcohol syndrome and developing craniofacial and dental structures-a review. Orthodontics & craniofacial research. 9(4), s. 172-185. DOI: 10.1111/j.1601-6343.2006.00377.x.
- SMITH, S. M., GARIC, A., FLENTKE, G. R., BERRES, M. E., 2014. Neural crest development in fetal alcohol syndrome. Birth defects research. Part C, Embryo today : reviews. 102(3), s. 210-220. DOI: 10.1002/bdrc.21078.
- STADE, B. C., STEVENS, B., UNGAR, W.J. et al., 2006. Health-related quality of life of Canadian children and youth prenatally exposed to alcohol. Health Qual Life Outcomes. 4(81). DOI: 10.1186/1477-7525-4-81.
- STREISSGUTH, A. P., AASE, J. M., CLARREN, S. K., RANDELS, S. P., LADUE, R. A., SMITH, D. F., 1991. Fetal alcohol syndrome in adolescents and adults. JAMA. 265(15), s. 1961-1967. Dostupné na: https://pubmed.ncbi.nlm.nih.gov/2008025/
- STREISSGUTH, A. P., CLARREN, S. K., JONES, K. L., 1985. Natural history of the fetal alcohol syndrome: a 10-year follow-up of eleven patients. Lancet (London, England). 2(8446), s. 85–91. DOI: 10.1016/s0140-6736(85)90189-8.
- SULIK, K. K., JOHNSTON, M. C., WEBB, M. A., 1981. Fetal alcohol syndrome: embryogenesis in a mouse model. Science (New York, N.Y.). 214(4523), s. 936–938. DOI: 10.1126/science.6795717.
- VAURIO, L., RILEY, E. P., MATTSON, S. N., 2008. Diferences in executive functioning in children with heavy prenatal alcohol exposure or attention-deficit hyperactivity disorder. Journal of the International Neuropsychological Society. 14(4), s. 119-129. DOI: 10.1017/ S1355617708080144.
- VORGIAS, D., BERNSTEIN, B., 2021. Fetal Alcohol Syndrome. In: StatPearls. [online] [cit. 2023-03-05]. Dostupné na: https://www.nebi.nlm.nih.gov/books/NBK448178/
- WILSON, S. E., CUDD, T. A., 2011. Focus on: The use of animal models for the study of fetal alcohol spectrum disorders. Alcohol research & health. 34(1), s. 92-98. Dostupné na: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3625987/
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Clinical speech therapy General practitioner for children and adolescentsArticle was published in
Clinical speech therapy (Listy klinické logopedie)
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