Antenatal Transabdominal Ultrasound Detection of Cleft Lip and Palate in Western Australia from 1996 to 2003

2004 ◽  
Author(s):  
Mark Hanikeri ◽  
James Savundra ◽  
David Gillett ◽  
Mark Walters ◽  
Wilma McBain
Keyword(s):  
Western Australia ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Transabdominal Ultrasound

scholarly journals Dental anomalies in children with cleft lip and palate in Western Australia

2016 ◽  
Vol 10 (02) ◽  
pp. 254-258 ◽  
Author(s):  
Wendy Nicholls
Keyword(s):  
Western Australia ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
X Rays ◽  
Dental Anomalies ◽  
Dental Patients ◽  
Bilateral Cleft Lip ◽  
Males And Females ◽  
The Mean ◽  
Dental Records

ABSTRACT Objective: The purpose of this paper was to describe the prevalence and type of dental anomalies in the primary and permanent dentition in children with a cleft condition at Princess Margaret Hospital in Perth, Western Australia. Materials and Methods: The details of 162 current dental patients extracted from the main dental database through their year of birth for the period 1998–2001 were selected consecutively. Dental records and X-rays were examined by one examiner (WN) and verified by a second examiner (RB) to determine dental development. The mean age of the subjects was 10.8 years with equal numbers of males and females. Subjects were further divided into cleft type; unilateral cleft lip (UCL) and palate, bilateral cleft lip (BCL) and palate, UCL, BCL, and cleft palate. Results: One hundred sixty-two subjects were grouped into 21 categories of anomaly or abnormality. Prevalence rates for the categories were calculated for the overall group and for gender and cleft type. Conclusion: Overall, 94% of patients were found to have at least one dental anomaly, with fifty-six (34%) patients having more than one anomaly or abnormality.

Dentoalveolar Relations in Children Born with a Unilateral Cleft Lip and Palate (UCLP) in Western Australia

2000 ◽  
Vol 37 (1) ◽  
pp. 12-16 ◽  
Author(s):  
Nicola Johnson ◽  
Alison C. Williams ◽  
Steven Singer ◽  
Peter Southall ◽  
Nikki Atack ◽  
...  
Keyword(s):  
Western Australia ◽  
Cleft Lip ◽  
Cleft Lip And Palate

Diagnostic accuracy of transabdominal ultrasound in detecting prenatal cleft lip and palate: a systematic review

2010 ◽  
Vol 35 (4) ◽  
pp. 495-502 ◽  
Author(s):  
W. Maarse ◽  
S. J. Bergé ◽  
L. Pistorius ◽  
T. van Barneveld ◽  
M. Kon ◽  
...  
Keyword(s):  
Systematic Review ◽  
Diagnostic Accuracy ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Transabdominal Ultrasound

Antenatal Transabdominal Ultrasound Detection of Cleft Lip and Palate in Western Australia from 1996 to 2003

2006 ◽  
Vol 43 (1) ◽  
pp. 61-66 ◽  
Author(s):  
M. Hanikeri ◽  
J. Savundra ◽  
D. Gillett ◽  
M. Walters ◽  
W. McBain
Keyword(s):  
Cleft Palate ◽  
Western Australia ◽  
Gestational Age ◽  
Detection Rate ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Patient Records ◽  
Antenatal Ultrasound ◽  
Bilateral Cleft Lip ◽  
Isolated Cleft Palate

Objective To determine the frequency of detection of cleft lip with or without cleft palate and isolated cleft palate from antenatal ultrasound examinations conducted on mothers of infants born with cleft lip and/or palate and isolated cleft palate in Western Australia from 1996 to 2003. Design Review of patient records and purpose-designed questionnaire sent to parents of children born with cleft lip and/or palate and isolated cleft palate. Results There were 308 infants born with cleft lip and/or palate and isolated cleft palate in the study period. Of the 293 parents, 218 responses were available for the study (70.7%), and 2.9 ± 1.8 SD antenatal ultrasound scans were performed on 216 women. No such scans were performed on two women. Cleft lip and/or palate was detected in 22.2% of cases. There was no detection prior to 15 weeks gestational age in the 137 women screened. Between 15 and 19 weeks gestational age, 174 scans detected 30 cases. Between 20 and 29 weeks gestational age, 84 scans detected 11 cases. Between 30 and 40 weeks gestational age, 66 scans detected 7 cases. The detection rate for bilateral cleft lip and/or palate was 44.4% and for unilateral cleft lip and/or palate, 40.6%. Detection rate for isolated cleft lip was 33.3%. Antenatal ultrasound failed to detect any infants with an isolated cleft palate (n = 95). The rate of detection of cleft lip and/or palate increased through the study period. Conclusions The rate of detection of cleft lip and/or palate in Western Australia is comparable to that for referral centers worldwide and is increasing. The rate of detection of the various types of cleft anomalies using antenatal ultrasound ranged from 0% to 44%.

Dentoalveolar Relations in Children Born with a Unilateral Cleft Lip and Palate (UCLP) in Western Australia

2000 ◽  
Vol 37 (1) ◽  
pp. 12-16 ◽  
Author(s):  
Nicola Johnson ◽  
Alison C. Williams ◽  
Steven Singer ◽  
Peter Southall ◽  
Nikki Atack ◽  
...  
Keyword(s):  
Western Australia ◽  
Cleft Lip ◽  
Cleft Lip And Palate

Antenatal Ultrasound Detection of Cleft in Western Australia from 2003 to 2012: A Follow-Up Study

2017 ◽  
Vol 54 (3) ◽  
pp. 321-326
Author(s):  
W. Nicholls ◽  
R. Jennings ◽  
Y. Yeung ◽  
M. Walters ◽  
B. Hewitt
Keyword(s):  
Western Australia ◽  
Detection Rate ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Detection Rates ◽  
Oral Clefts ◽  
Princess Margaret Hospital ◽  
Antenatal Counseling ◽  
Antenatal Detection ◽  
Isolated Cleft Palate

Aim To investigate trends in the rate of antenatal detection of cleft lip and palate (CLP) patients referred to the CLP Unit at Princess Margaret Hospital for Children in Perth, Western Australia during the period 2003-2012 and compare data with a previously published report covering the years 1996-2003. Methods This is a single-center, retrospective survey of antenatal transabdominal ultrasound screenings of mothers of infants born between July 1, 2003 and June 30, 2012 that were referred to the CLP Unit at Princess Margaret Hospital. Results Detection rates of oral clefts increased significantly when compared with outcomes reported in the same population between 1996 and 2003 ( P < .05). An overall detection rate of 71.7% (165/230) was achieved for clefts involving lip and palate. Detection of isolated cleft palate (1/99) and microform (0/8) remained elusive. Most detections (76.5%) were achieved at 15 to 20 weeks of gestational age, corresponding with routine anatomical screening. A further 16.8% were detected post-20 weeks of gestation. Scans were performed by specialist obstetricians, and sonography clinics reported a detection rate of 84.6% (55/65), whereas nonspecialist clinics reported a detection rate of only 67.1% (110/164). Conclusion The antenatal detection rates of oral clefts involving the lip have improved to the extent that the majority of mothers are now being referred to a cleft unit in Western Australia prior to the births of their children. As a result of this improvement, antenatal counseling is now a common facet of cleft management.

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