International Journal of Scientific Research in Dental and Medical Sciences

International Journal of Scientific Research in Dental and Medical Sciences

Imaging Prenatal Diagnosis of Cleft Lip and Palate in Brazil: Frequency and Familial Impact

Document Type : Original Article

Authors
Karla Baba 1
Rayane Pinto 2
Gisele S Dalben 1
1 Hospital for Rehabilitation of Craniofacial Anomalies, University of São Paulo (HRAC-USP), São Paulo, Brazil
2 São Paulo State University, Araraquara School of Dentistry (UNESP-FoAr), São Paulo, Brazil
10.30485/ijsrdms.2019.190090.1007
Abstract
Background and aim: The ultrasound evaluation of the fetal face for the detection of orofacial clefts is the most common diagnosis. This study analyzed the frequency of patients whose orofacial clefts diagnosed prenatally. Concordance of prenatal diagnosis and postnatal outcomes, and the impact of prenatal diagnosis.
Materials and methods: The sample was composed of 200 children (age of 0-36 months) relatives, with any orofacial cleft, regardless of ethnicity, gender, or socioeconomic background. A self-administered questionnaire responded, and descriptive statistics and Fisher exact test analyzed the results.
Results: Among the 200 children, 25.5% had diagnosed prenatally. There was concordance between prenatal diagnosis and outcome in 62.7% of cases, which is similar for all clefts (p=0.81). Less than entirely accurate prenatal diagnosis occurred in 37.2%. Under the 51 families that had a prenatal diagnosis, 66.6% considered the opportunity as favorable. Among the convenient reasons, 58.8% of the families mentioned the possibility to prepare themselves.
Conclusion: One-quarter of patients diagnosed prenatally and less than entirely accurate findings occurred in more than a third of the cases diagnosed. Despite that, families often report prenatal diagnosis as helpful for the acceptance of the condition and psychological preparation before the child is born.
Keywords
Keywords: Cleft lip
Cleft palate
Prenatal
Prenatal diagnosis Ultrasonography
Subjects
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International Journal of Scientific Research in Dental and Medical Sciences
Volume 1, Issue 3
Summer 2019
Pages 31-35

  • Receive Date 14 June 2019
  • Revise Date 23 July 2019
  • Accept Date 03 August 2019
  • Publish Date 01 September 2019