Archives of Plastic Surgery

Korean Society of Plastic and Reconstructive Surgeons (대한성형외과학회)
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The Importance of Multidisciplinary Management during Prenatal Care for Cleft Lip and Palate

  • Han, Hyun Ho (Department of Plastic and Reconstructive Surgery, College of Medicine, The Catholic University of Korea) ;
  • Choi, Eun Jeong (Department of Plastic and Reconstructive Surgery, College of Medicine, The Catholic University of Korea) ;
  • Kim, Ji Min (Department of Plastic and Reconstructive Surgery, College of Medicine, The Catholic University of Korea) ;
  • Shin, Jong Chul (Department of Obstetrics and Gynecology, College of Medicine, The Catholic University of Korea) ;
  • Rhie, Jong Won (Department of Plastic and Reconstructive Surgery, College of Medicine, The Catholic University of Korea)
  • Received : 2015.09.11
  • Accepted : 2015.12.28
  • Published : 2016.03.18
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Abstract

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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References

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