American Journal of Medical and Biological Research
ISSN (Print): 2328-4080 ISSN (Online): 2328-4099 Website: http://www.sciepub.com/journal/ajmbr Editor-in-chief: Apply for this position
Open Access
Journal Browser
Go
American Journal of Medical and Biological Research. 2015, 3(3), 76-77
DOI: 10.12691/ajmbr-3-3-3
Open AccessResearch Article

Unilateral Orofacial Clefts: Prenatal Diagnostic by Ultrassonography

Caroline Mombaque dos Santos1, Wendel Mombaque dos Santos2, , Francisco Maximiliano Pancich Gallarreta1, Caroline Eckerdt Schroer1 and Edson Nunes de Morais1

1Fetal medicine department, Federal University of Santa Maria, Santa Maria/RS, Brazil

2Occupational health department, Brazilian Company of Hospital Services, Santa Maria/RS, Brazil

Pub. Date: May 31, 2015
(This article belongs to the Special Issue Advances in gynecology and obstetrics)

Cite this paper:
Caroline Mombaque dos Santos, Wendel Mombaque dos Santos, Francisco Maximiliano Pancich Gallarreta, Caroline Eckerdt Schroer and Edson Nunes de Morais. Unilateral Orofacial Clefts: Prenatal Diagnostic by Ultrassonography. American Journal of Medical and Biological Research. 2015; 3(3):76-77. doi: 10.12691/ajmbr-3-3-3

Abstract

PURPOSE: To report a case of unilateral cleft with antenatal diagnosis in rotine ultrasound. CASE DESCRIPTION: Patient aged 21 years, in the first pregnancy, referred to the Fetal Medicine Unit of the University Hospital of Santa Maria due to the ultrasound diagnosis of discontinuity lip and palate, compatible with cleft lip and cleft palate. Prenatal uneventful and patient developed for cesarean delivery by cephalopelvic disproportion with female newborn, 3270 g, Apgar 10-10, confirming the diagnosis. CONCLUSIONS: unilateral orofacial clefts are common in female newborns, with deficiencies of folic acid like some risk factor and surgical treatment does not occur in the immediate postpartum period to be unfavorable an esthetic and functional point. The family counseling from pre-natal to ensure such understanding and the cleft lip and palate can be corrected completely, achieving better quality of life and the report of this case is important to exemplified the importance of a monitoring by a multidisciplinary team.

Keywords:
Orofacial clefts Ultrasonography Prenatal Counseling

Creative CommonsThis work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

References:

[1]  Bunduki V et al. Diagnóstico Pré-Natal de Fenda Labial e Palatina: Experiência de 40 Casos. Rev. Bras. Ginecol. Obstet. 2001; 23 (9): 561-66.
 
[2]  Junior EA, Guimarães Filho HÁ, Pires CR, Zanforlin Filho SM, Santana RM, Moron AF. Fendas fetais labiais e palatinas detectadas pela ultra-sonografia tridimensional Rev. Imagem; 2005; 27 (4): 263-68.
 
[3]  Martelli DRB et al. Avaliação da idade materna, paterna, ordem de paridade e intervalo interpartal para fissura lábio-palatina. Braz. J. Otorhinolaryngol. (Impr.), São Paulo. 2010; 76 (1): 1-10.
 
[4]  Paranaiba LMR et al. Fissuras lábio-palatinas: série de casos clínicos incomuns. Braz. J. Otorhinolaryngol.. 2010; 76 (5): 649-53.
 
[5]  Di Ninno CQMS et al. Levantamento epidemiológico dos pacientes portadores de fissura de lábio e/ou palato de um centro especializado de Belo Horizonte. Rev. CEFAC. 2011; 13 (6): 1-8.
 
[6]  Amstalden-Mendes LG, Xavier AC, Antunes DK, Ferreira AC, Tonocchi R, Fett-Conte AC, et al. Time of diagnosis of oral clefts: a multicenter study. J Pediatr (Rio J). 2011; 87 (3): 225-230.
 
[7]  Figueiredo MC, Pinto NF, Silva DDF, Oliveira M. Fissura unilateral completa de lábio e palato: alterações dentárias e de má oclusão – relato de caso clínico. RFO. 2008; 13 (3): 73-7
 
[8]  Gadernal M, Bastos PRHO, Pontes ERJC, Bogo D. Prevalência de fissuras orofaciais diagnosticadas em um serviço de referência em casos de residentes no estado do Mato Grosso do Sul. Arq Int Otorrinolaringol. 2011; 15 (2): 133-41.
 
[9]  Nicoletti D et al. Maternal smoking during pregnancy and birth defects in children: a systematic review with meta-analysis. Cad. Saúde Pública [online]. 2014; 30: 2491-2529
 
[10]  Souza J, Raskin S. Clinical and epidemiological study of orofacial clefts. J Pediatr (Rio J). 2013; 89: 137-44.