Prenatal diagnosis of cleft lip and cleft lip palate – a case series

Mărginean, Cristina Oana; Sasarean, Vladut; Meliţ, Lorena Elena; Mărginean, Maria Oana

doi:10.11152/mu-1582

Cited by 13 publications

(10 citation statements)

References 35 publications

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“…Success could be achieved via teaching the parents and providing support to face such challenges 10,11,12,13 . In this study the prenatal diagnosis was confirmed in 37% of the affected cases, that rate was coincide with several previous studies which showed a range from 19% to 70% with correspondence to the design of the study 14,15,16,17 .…”

Section: Discussionsupporting

confidence: 92%

Cleft Lip and Palate Nutritional Assessment and Feeding challenges

Attia

2019

Egyptian Dental Journal

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Purpose: The present study aimed to highpoint the feeding challenges of infants with cleft lip and/or palate (CLP) that caregivers and parents came across and analyse the different interventions they perform in the preoperative period. Design and methods: Parents of 100 infants with CLP were asked to complete the questionnaire. The feeding preparations and challenges with alternatives to overcome these difficulties were evaluated. Results: Forty-six percent of the parents that their infants were diagnosed prenatally received an education for feeding. Breastfeeding was not successful 77.9%. Infants affected with isolated cleft palate and cleft lip and palate reported difficulties and more complication than isolated cleft lip patients. Parents stated that 56% of the infants with cleft had stayed in the intensive care units following birth. On the other hand, 40% of the infants were fed by nasogastric or orogastric tube primely. Thirty-five percent of cleft palate patients used palatal obturators. Conclusions: The study highlights the feeding challenges that had been faced by parents, caregivers and health care providers.

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Section: Discussionsupporting

confidence: 92%

Cleft Lip and Palate Nutritional Assessment and Feeding challenges

Attia

2019

Egyptian Dental Journal

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“…Todos os estudos presentes na atual revisão detectaram a importância do exame de ultrassonografia como uma ferramenta segura a ser aplicada durante o pré-natal e confirmaram seus impactos positivos para o planejamento de intervenções de uma equipe multidisciplinar após o nascimento do bebê. Dessa forma incentivando tais exames a continuarem a ser oferecidos durante o período gestacional (Jones, 2002;Tonni et al, 2015;Maarse et al, 2015;Loozen et al, 2015;James & Sclieder, 2016;Lakshmy et al, 2017;Marginean et al, 2018;Ko et al, 2020;Faure et al, 2020;Yan et al, 2022).…”

Section: Resultsunclassified

Uso da ultrassonografia no diagnóstico de fendas labiais e fissuras palatinas durante o pré-natal: uma revisão integrativa

Antunes¹,

Wanderley²,

Costa³

2022

RSD

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Introdução: Malformações de desenvolvimento durante o período embrionário são preocupações na área da saúde, seus efeitos podem variar desde desconfortos estéticos até a incompatibilidade com a vida. No contexto da odontologia a principal malformação relatada são as fendas e fissuras que acometem lábio e palato. Nesse contexto um planejamento antecipado dado por um bom diagnóstico ainda durante o pré-natal infantil pode auxiliar a família no planejamento de medidas para auxiliar no desenvolvimento da criança. Objetivo: Abordar a importância do diagnóstico precoce utilizando ultrassonografia no atendimento do paciente fissurado para a odontopediatria. Metodologia: O estudo foi conduzido como uma revisão integrativa da literatura com análise de conteúdo de modo qualitativo. As bases de dados pesquisadas foram Pubmed, Embase, Scopus, Web of Science e Cochrane Library com a estratégia de busca “("Cleft Lip" AND "Cleft Palate") AND ("Prenatal Diagnosis") AND ("Ultrasonography, Prenatal")”. Foram selecionados estudos dos últimos 10 anos que estivessem escritos em português, inglês ou espanhol. Foram excluídos resumos, notas e cartas ao editor. Resultados e Discussão: Ao final da análise foram selecionados 11 estudos que cumpriram com os critérios de inclusão. Todos os artigos demonstraram a utilidade da ultrassonografia no diagnóstico de fendas e fissuras labiais e palatinas a partir do segundo trimestre de gestação. Conclusão: Apesar do método não possuir acurácia total, a ultrassonografia auxilia no diagnóstico de malformações. O cirurgião-dentista deve compreender o exame de imagem de realizar planejamento de intervenções junto a equipe multidisciplinar para possibilitar um acompanhamento humanizado e integral a criança.

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“…Further the prenatal ultrasound technique has developed fast during the last years and allows almost 100% detection of CL/P at the end of the 1st trimester of pregnancy. The manifestation of the lip (CL) alone can usually only been seen during the 2nd trimester in ultrasound examination ( 21 ). While 81.4% of mothers were very satisfied with the information they received at the time of pre-natal diagnosis, there were even 4 mothers complaining about “insufficient” information at this time.…”

Section: Discussionmentioning

confidence: 99%

Psychosocial and socioeconomically aspects of mothers having a child with cleft lip and/or palate (CL/P): a pilot-study during the first year of life

Scheller¹,

Urich²,

Scheller³

et al. 2020

J Clin Exp Dent

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Background The emotional impact on parents at the birth of their new-born with cleft lip and/or palate (CL/P) can be traumatic for parents, especially mothers, and affect the sensitive early parent-child relationship. Unlike many other congenital malformations facial deformities are visible to all. The uncommon facial appearance creates feelings and reactions in the mother, families and other people. Only few studies deal with this psychosocial burden of these mothers. Material and Methods This pilot-study deals with mothers’ early experiences (n=84) having a child with CL/P. Mothers were asked to complete a questionnaire at diagnosis, birth and after lip surgery. The questions were focused on the social background of the mother (educational degree, marital status, lifestyle and prenatal care), the medical information at diagnosis and the following reaction. The surveys were administrated from 01/2014 – 12/2016. Results 84 mothers of affected children (CL/P) replied the completed questionnaire (84/103, 81.5%). At diagnosis 65 mothers (77%) lived in a solid partnership and 44% worked full-time (40h). The diagnosis caused fear among the mothers (60.7%, p≤0.01), despair (27.4%, p≤0.01), grief (17.9%, p≤0.01) and guilt (16.7%, p≤0.01). Despite the emotional stress after the diagnosis only 5 mothers asked for psychological support (6.0%). The medical information by the gynecologist (41.6%) or maxillofacial surgeon (32.2%) was rated as “good” (n=26) or “very good” (n=26) in 60.2%. A lack of medical information and care was rated with “insufficient” (11.9%) or “poor” (14.3%). Conclusions There are only few studies about mothers’ early feelings and emotions having a child with a CL/P. We found high parental stress, physical and emotional strain among the mothers after diagnosis, mostly caused due to insufficient information’s. This stress was not correlated with the educational level and CLP appearance showed no relation about the socioeconomic status. Key words: Cleft lip/palate, mother’s emotional experience, psychosocial aspects

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Prenatal diagnosis of cleft lip and cleft lip palate – a case series

Cited by 13 publications

References 35 publications

Cleft Lip and Palate Nutritional Assessment and Feeding challenges

Cleft Lip and Palate Nutritional Assessment and Feeding challenges

Uso da ultrassonografia no diagnóstico de fendas labiais e fissuras palatinas durante o pré-natal: uma revisão integrativa

Psychosocial and socioeconomically aspects of mothers having a child with cleft lip and/or palate (CL/P): a pilot-study during the first year of life

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