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[Correlation between antenatal ultrasound and postnatal diagnosis in cleft lip or palate: A retrospective study of 44 cases].
Gynecol Obstet Fertil. 2015 Dec; 43(12):767-72.GO

Abstract

OBJECTIVES

Anomalies of the maxillofacial development concern 1 for 700 births. About 30% of prenatal diagnoses of isolated primary cleft palate or associated with a cleft of secondary palate will be corrected in postnatal. This retrospective observational study was designed to compare the antenatal data and postnatal diagnosis regarding a series of clefts.

MATERIALS AND METHODS

All children born between 1 December 2009 and 31 January 2014 in a prenatal diagnostic reference center and having a cleft palate were included. Newborns with an abnormality associated with the cleft were excluded. A comparison was made between the data in the antenatal ultrasound reports and postnatal those described by the surgeon during surgery.

RESULTS

Forty-four children were included and three infants were excluded due to associated anomalies. Of those 41 children, 27 children have been screened. Ultrasound and clinical diagnosis was the same for 23 cases (85.2%) and inaccurate for 4 patients (14.8%). In case of primary cleft palate prenatal diagnosis was performed to 19 cases of 21 (90.5%), but only 8 of 20 if only secondary cleft palate (42.1%) including 7 with a Pierre-Robin sequence.

DISCUSSION

Antenatal screening sensitivity of primary and secondary cleft palate increase in recent years with a rate of 85.2% in our series. By contrast, diagnosis of isolated secondary cleft palate seems to be more difficult and 3D ultrasound does not always improve screening performance.

CONCLUSION

Ultrasound 2D seem sufficient for screening of primary and secondary cleft palate. The 3D ultrasound may be useful for a better representation of the cleft for future parents. The same language concerning the classification of the clefts facilitates harmonization of reporting and understanding between professionals. The presence of the maxillofacial surgeon ultrasound room would allow the sonographer to direct its ultrasound accurately or improve its learning curve.

Authors+Show Affiliations

Service de gynécologie-obstétrique, CHU de Nantes, quai 38, boulevard Jean-Monnet, 44093 Nantes cedex, France.Service de chirurgie maxillo-faciale et de stomatologie, CHU de Nantes, quai 38, boulevard Jean-Monnet, 44093 Nantes cedex, France.Service de gynécologie-obstétrique, CHU de Nantes, quai 38, boulevard Jean-Monnet, 44093 Nantes cedex, France.Service de gynécologie-obstétrique, CHU de Nantes, quai 38, boulevard Jean-Monnet, 44093 Nantes cedex, France. Electronic address: claudine.levaillant@chu-nantes.fr.

Pub Type(s)

Journal Article

Language

fre

PubMed ID

26584892

Citation

Dochez, V, et al. "[Correlation Between Antenatal Ultrasound and Postnatal Diagnosis in Cleft Lip or Palate: a Retrospective Study of 44 Cases]." Gynecologie, Obstetrique & Fertilite, vol. 43, no. 12, 2015, pp. 767-72.
Dochez V, Corre P, Riteau AS, et al. [Correlation between antenatal ultrasound and postnatal diagnosis in cleft lip or palate: A retrospective study of 44 cases]. Gynecol Obstet Fertil. 2015;43(12):767-72.
Dochez, V., Corre, P., Riteau, A. S., & Le Vaillant, C. (2015). [Correlation between antenatal ultrasound and postnatal diagnosis in cleft lip or palate: A retrospective study of 44 cases]. Gynecologie, Obstetrique & Fertilite, 43(12), 767-72. https://doi.org/10.1016/j.gyobfe.2015.10.009
Dochez V, et al. [Correlation Between Antenatal Ultrasound and Postnatal Diagnosis in Cleft Lip or Palate: a Retrospective Study of 44 Cases]. Gynecol Obstet Fertil. 2015;43(12):767-72. PubMed PMID: 26584892.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Correlation between antenatal ultrasound and postnatal diagnosis in cleft lip or palate: A retrospective study of 44 cases]. AU - Dochez,V, AU - Corre,P, AU - Riteau,A-S, AU - Le Vaillant,C, Y1 - 2015/11/14/ PY - 2015/04/25/received PY - 2015/10/12/accepted PY - 2015/11/21/entrez PY - 2015/11/21/pubmed PY - 2016/8/4/medline KW - Cleft labial KW - Cleft palate KW - Diagnostic prénatal KW - Fente labiale KW - Fente palatine KW - Palais primaire KW - Palais secondaire KW - Prenatal diagnosis KW - Primary palate KW - Secondary palate KW - Ultrasons KW - Ultrasound SP - 767 EP - 72 JF - Gynecologie, obstetrique & fertilite JO - Gynecol Obstet Fertil VL - 43 IS - 12 N2 - OBJECTIVES: Anomalies of the maxillofacial development concern 1 for 700 births. About 30% of prenatal diagnoses of isolated primary cleft palate or associated with a cleft of secondary palate will be corrected in postnatal. This retrospective observational study was designed to compare the antenatal data and postnatal diagnosis regarding a series of clefts. MATERIALS AND METHODS: All children born between 1 December 2009 and 31 January 2014 in a prenatal diagnostic reference center and having a cleft palate were included. Newborns with an abnormality associated with the cleft were excluded. A comparison was made between the data in the antenatal ultrasound reports and postnatal those described by the surgeon during surgery. RESULTS: Forty-four children were included and three infants were excluded due to associated anomalies. Of those 41 children, 27 children have been screened. Ultrasound and clinical diagnosis was the same for 23 cases (85.2%) and inaccurate for 4 patients (14.8%). In case of primary cleft palate prenatal diagnosis was performed to 19 cases of 21 (90.5%), but only 8 of 20 if only secondary cleft palate (42.1%) including 7 with a Pierre-Robin sequence. DISCUSSION: Antenatal screening sensitivity of primary and secondary cleft palate increase in recent years with a rate of 85.2% in our series. By contrast, diagnosis of isolated secondary cleft palate seems to be more difficult and 3D ultrasound does not always improve screening performance. CONCLUSION: Ultrasound 2D seem sufficient for screening of primary and secondary cleft palate. The 3D ultrasound may be useful for a better representation of the cleft for future parents. The same language concerning the classification of the clefts facilitates harmonization of reporting and understanding between professionals. The presence of the maxillofacial surgeon ultrasound room would allow the sonographer to direct its ultrasound accurately or improve its learning curve. SN - 1769-6682 UR - https://www.unboundmedicine.com/medline/citation/26584892/[Correlation_between_antenatal_ultrasound_and_postnatal_diagnosis_in_cleft_lip_or_palate:_A_retrospective_study_of_44_cases]_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1297-9589(15)00303-3 DB - PRIME DP - Unbound Medicine ER -