[Cleft lip and palate: indications for radiological postnatal explorations].
OBJECTIVE
We evaluated the utility of systematic neonatal radiological explorations in 20 instances of isolated cleft lip and palate in 20 cases.


METHODS
This study included 13 infants with prenatal ultrasound diagnosis. The type of cleft and possible associated anomalies were noted. A systematic chromosomal test was done. In 7 cases, the cleft lip was noted at birth. Postnatal outcome was obtained and a clinical examination and radiological explorations were carried out.


RESULTS
For the cases with prenatal diagnosis, the chromosomal test was normal in 11 cases and we noted associated anomalies in three cases. For the cases with neonatal diagnosis, the chromosomal test was normal in 6 cases and 1 infant had associated anomalies.


CONCLUSIONS
The biological and radiological explorations can be numerous. In our study, the systematic neonatal radiological explorations did not find more elements compared with neonatal clinical examinations. The high risk of having a chromosomal anomaly in children with cleft lip requires systematic prenatal chromosomal exploration.
McHeik
J N
JN
Service de chirurgie pédiatrique, hôpital Jean-Bernard, CHU de Poitier, cité hospitalière de la Milétrie, Poitiers cedex, France. j.mcheik@chu-poitiers.fr
Gaudin
J
J
Levard
G
G
D002869:Chromosome Aberrations; D002971:Cleft Lip / Q000175:diagnosis*; D002972:Cleft Palate / Q000175:diagnosis*; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D011181:Postnatal Care; D011247:Pregnancy; D011296:Prenatal Diagnosis