University of Minnesota Medical School, Minneapolis, MN, USA.
Minnesota Perinatal Physicians, Abbott Northwestern Hospital, Minneapolis, MN, USA.
Cleft Palate Craniofac J. 2023 Sep;60(9):1071-1077. doi: 10.1177/10556656221093174. Epub 2022 Apr 18.
To assess the clinical impacts of prenatal consultation with a multidisciplinary cleft team on infants with cleft lip with or without cleft palate (CL ± P). Retrospective cases series. Tertiary pediatric hospital. Infants with CL ± P whose mothers received prenatal consultation with a pediatric otolaryngology team from June 2005 to December 2019 were identified. A random sample of infants with CL ± P without prenatal consultation from June 2005 to December 2019 was also identified. The primary outcomes were the length of hospitalization during the first 12 weeks of life, timing of surgical repair, length of postsurgical hospitalization, and number of unplanned clinic visits and phone calls for feeding evaluation. Time to cleft lip repair differed significantly between the 2 groups with repair performed at 13.4 (±0.9) weeks for the prenatal consultation group (n = 73) and 15.3 (±2.1) weeks for the control group (n = 80), ( < .05). If hospitalization was required for feeding difficulties during the first 12 weeks of life, length of stay was 4.9 (± 1.7) days for infants with prenatal consultation and 11.5 (± 7.2) days for control infants ( < .05). Unplanned clinic visits with a speech-language pathologist (SLP) for feeding difficulties were needed for 2.7% of prenatal consultation infants and 11.3% of control infants ( < .05). Prenatal consultation regarding CL ± P resulted in infants with decreased duration of early hospitalizations, earlier cleft lip repair, and decreased engagement with the SLP feeding clinic for feeding difficulties when compared with infants without prenatal consultation.
评估多学科唇裂团队产前咨询对伴有或不伴有腭裂的唇裂（CL±P）婴儿的临床影响。回顾性病例系列。三级儿科医院。确定了 2005 年 6 月至 2019 年 12 月期间接受儿科耳鼻喉科团队产前咨询的 CL±P 婴儿的随机样本。还确定了 2005 年 6 月至 2019 年 12 月期间未接受产前咨询的 CL±P 婴儿的随机样本。主要结果是出生后前 12 周的住院时间、手术修复时间、术后住院时间、计划外就诊次数和电话就诊次数，以评估喂养情况。两组婴儿的唇裂修复时间差异有统计学意义，产前咨询组（n=73）修复时间为 13.4（±0.9）周，对照组（n=80）修复时间为 15.3（±2.1）周，差异有统计学意义（ < .05）。如果出生后前 12 周需要因喂养困难住院，产前咨询婴儿的住院时间为 4.9（±1.7）天，对照组婴儿为 11.5（±7.2）天，差异有统计学意义（ < .05）。由于喂养困难，需要与言语语言病理学家（SLP）进行计划外就诊的产前咨询婴儿有 2.7%，对照组婴儿有 11.3%，差异有统计学意义（ < .05）。与未接受产前咨询的婴儿相比，CL±P 的产前咨询导致婴儿早期住院时间缩短、唇裂修复时间提前、以及因喂养困难而与 SLP 喂养诊所接触减少。
