viewed as multifactorial including the interaction of genetics and the environment in a process that is not currently well understood (Ferrero, et al., 2009). The pathophysiology of syndromic cases, on the other hand, is easier to trace to particular genomic sequences; however variability in outcomes continue to be reported (Ferrero, et al., 2009). Normal embryonic plate development begins in the fetus at about six weeks gestation (Yu, et al., 2009). Palatal shelves are differentiated by oral, nasal…
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