Prenatal diagnosis of cleft lip with or without cleft palate: Retrospective study and review

被引：2

作者：

Guyot, A. ^{[1
]}

Soupre, V. ^{[2
]}

Vazquez, M. -P. ^{[2
]}

Picard, A. ^{[2
]}

Rosenblatt, J. ^{[1
]}

Garel, C. ^{[3
]}

Gonzales, M. ^{[4
]}

Marlin, S. ^{[5
]}

Benifla, J. -L. ^{[1
]}

Jouannic, J. -M. ^{[1
]}

机构：

[1] Hop Armand Trousseau, AP HP, Ctr Pluridisciplinaire Diagnost Prenatal Est Pari, Serv Gynecol Obstet, F-75012 Paris, France

[2] Hop Armand Trousseau, AP HP, Serv Chirurg Maxillofaciale & Plast, F-75012 Paris, France

[3] Hop Armand Trousseau, AP HP, Serv Radiol, F-75012 Paris, France

[4] Hop Armand Trousseau, AP HP, Serv Genet, Unite Foetopathol, F-75012 Paris, France

[5] Hop Armand Trousseau, AP HP, Serv Genet, F-75012 Paris, France

来源：

JOURNAL DE GYNECOLOGIE OBSTETRIQUE ET BIOLOGIE DE LA REPRODUCTION | 2013年 / 42卷 / 02期

关键词：

Prenatal diagnosis; Cleft lip; Cleft palate; Ultrasound; FACIAL CLEFTS; ULTRASOUND; ANOMALIES; ACCURACY; ULTRASONOGRAPHY; REGISTRIES; FETUSES;

D O I：

10.1016/j.jgyn.2012.08.002

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

Objectives. - To evaluate the management of prenatally diagnosed cleft lip with or without cleft palate and the immediate postnatal outcome. Material and methods. - Retrospective study of all cases of cleft lip with or without cleft palate referred to our fetal medicine unit, between January 2005 and January 2011. The anatomical type of cleft, associated malformations, and the postnatal outcome were reviewed. Results. - Forty-three cases of fetal cleft lip with or without cleft palate were reviewed. The mean gestational age at diagnosis was 24 weeks +/- 4. The postnatal distribution of clefts was: 30 cleft lip and palate (70%) and 13 cleft lip (30%). The prenatal diagnosis of the cleft type was exact in 27 cases (62.8%). Nine cases had associated anomalies (21%), detected prenatally in three cases (37.5%). There was no karyotypical abnormality. Six pregnancies were terminated (14%). The immediate postnatal outcome was comparable with unselected newborns. Conclusion. - The prenatal diagnosis of cleft lip with or without cleft palate is correct, with two thirds of exact diagnoses. Large clefts palate are the best detected. Associated malformations cannot always be diagnosed by prenatal ultrasound, but have to be searched for because they modify the fetal outcome. (C) 2012 Elsevier Masson SAS. All rights reserved.

引用

页码：151 / 158

页数：8

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