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KMID : 1038220160430020153
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Archives of Plastic Surgery
2016 Volume.43 No. 2 p.153 ~ p.159
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The Importance of Multidisciplinary Management during Prenatal Care for Cleft Lip and Palate
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Han Hyun-Ho
Choi Eun-Jeong
Kim Ji-Min
Shin Jong-Chul
Rhie Jong-Won
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Abstract
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Background: The prenatal ultrasound detection of cleft lip with or without cleft palate (CL/P) and its continuous management in the prenatal, perinatal, and postnatal periods using a multidisciplinary team approach can be beneficial for parents and their infants. In this report, we share our experiences with the prenatal detection of CL/P and the multidisciplinary management of this malformation in our institution’s Congenital Disease Center.
Methods: The multidisciplinary team of the Congenital Disease Center for mothers of children with CL/P is composed of obstetricians, plastic and reconstructive surgeons, pediatricians, and psychiatrists. A total of 11 fetuses were diagnosed with CL/P from March 2009 to December 2013, and their mothers were referred to the Congenital Disease Center of our hospital. When CL/P is suspected in the prenatal ultrasound screening examination, the pregnant woman is referred to our center for further evaluation.
Results: The abortion rate was 28% (3/11). The concordance rate of the sonographic and final diagnoses was 100%. Ten women (91%) reported that they were satisfied with the multidisciplinary management in our center.
Conclusions: Although a child with a birth defect is unlikely to be received well, the women whose fetuses were diagnosed with CL/P on prenatal ultrasound screening and who underwent multidisciplinary team management were more likely to decide to continue their pregnancy.
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KEYWORD
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Cleft lip, Cleft palate, Craniofacial abnormalities, Ultrasonography, Interdisciplinary communication
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