Axial ultrasonographic imaging of the fetal maxilla for accurate characterization of facial clefts

Catherine J. Babcook, John P McGahan

Research output: Contribution to journalArticle

20 Scopus citations

Abstract

The purpose of this study was to determine whether scanning of the fetal midface in the axial plane allows accurate characterization of facial clefts. During fetal anatomic survey, facial clefts were identified in six fetuses. The midface anatomy was evaluated with ultrasonography in the coronal and axial planes, and the clefts were characterized prospectively as unilateral or bilateral and as involving the lip alone or both the lip and the palate. The integrity of the upper lip was assessed in the coronal and axial planes. The continuity of the normal C-shaped curve of the tooth-bearing alveolar ridge and the anterior six tooth sockets was assessed in the axial were characterized prospectively as unilateral cleft lip (one case), unilateral cleft lip and cleft palate (four cases), and bilateral cleft lip and cleft palate (one case). The prenatal characterization was confirmed to be correct postnatally in all cases. Prenatal sonographic evaluation of the axial view of the tooth-bearing alveolar ridge of the maxilla allows accurate determination of whether a cleft is confined to the lip or involves both the lip and the palate.

Original languageEnglish (US)
Pages (from-to)619-625
Number of pages7
JournalJournal of Ultrasound in Medicine
Volume16
Issue number9
StatePublished - Sep 1997

Keywords

  • Cleft lip
  • Cleft palate
  • Fetus, face
  • Maxilla, fetal
  • Ultrasonography

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Radiological and Ultrasound Technology
  • Acoustics and Ultrasonics

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