Management of the Amniotic Band Syndrome with Cleft Palate: Literature Review and Report of a Case

Cortez-Ortega, Carolina; Garrocho‐Rangel, Arturo; Flores-Velázquez, Joselín; Ruiz-Rodríguez, Socorro; Noyola-Frías, Miguel Ángel; Santos-Díaz, Miguel Ángel; Pozos‐Guillén, Amaury

doi:10.1155/2017/7620416

Cited by 9 publications

(9 citation statements)

References 22 publications

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“…ABS is relatively common in the Afro-Caribbean population with the reported incidence of 1:1,200 to 1:15,000 live births and 1 in 70 stillbirths. 4 Approximately two-third has been reported in primiparous, with similar incidence in both male and female fetuses. 5,6 There is no evidence of Mendelian inheritance and genetic linkage is yet to be explored .…”

Section: Epidemiologymentioning

confidence: 99%

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Amniotic Band Syndrome: A Silent Knife In-Utero

Fatema¹,

Acharya

Yaqoubi³

2019

Nep. Med. Coll. J.

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Amniotic band syndrome (ABS) is a rare, but serious congenital syndrome complex. It is associated with a wide range of fetal structural anomalies, notably craniofacial and limb anomalies. Early prenatal diagnosis is important to provide accurate information to the parents, predict the prognosis and in some cases perform in-utero lysis of the bands to restore the blood flow to the affected limb. A postnatal multidisciplinary approach involving vascular decompression, reconstructive surgery, prosthesis, and physiotherapy are some of the therapeutic options. It is necessary to consider ABS in prenatal screening with a high index of suspicion as early screening can allow a timely therapeutic strategy and reduce the severity of the associated defects.

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Section: Epidemiologymentioning

confidence: 99%

“…3 ABS is a usual consequence of an early amniotic sac rupture and carries significant structural morbidity. 4…”

Section: Introductionmentioning

confidence: 99%

Amniotic Band Syndrome: A Silent Knife In-Utero

Fatema¹,

Acharya

Yaqoubi³

2019

Nep. Med. Coll. J.

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“…Once these differential diagnoses are ruled out, further investigation must be taken to identify other fetal or placental abnormalities. To date, there are no known biochemical markers or genes to definitively diagnose the syndrome, however, there is an association with chromosomal abnormalities, and therefore the work-up often includes amniocentesis for karyotype as well as single nucleotide polymorphism (SNP) microarray [6][7][8][9][10][11][12]. As the presentation and complications are diverse, management depends on individual cases and ranges from expectant management with intervention in the neonatal/pediatric period, to fetoscopic band transection (fetal surgery), and even termination of pregnancy.…”

Section: Part 1: Intrinsic Placental Abnormalitiesmentioning

confidence: 99%

Placental Abnormalities

Juusela¹

2019

Complications of Pregnancy

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A detailed discussion of normal placental development and physiology is beyond the scope of this chapter and is discussed in other chapters. Instead, this chapter will focus on an overview of congenital placental abnormalities and the obstetrical complications that can arise. The goal of this chapter is to delineate the real-world implications of placental abnormalities and provide the reader with a basis for understanding the other chapters that will delve into microbiology, genomics, immunohistochemistry, and biochemistry of the placenta. The focus of this chapter will be on the developmental anomalies and this chapter will not discuss acquired anomalies (e.g., chorioamnionitis, amnion nodosum, metastatic tumors, and umbilical cord true knots). As the intention of this chapter is to focus on the etiopathogenesis of abnormal placentation, it is not intended to instruct the medical management of the described conditions, and therefore the discussions of management will be brief. The information provided is intended for general knowledge only and is not intended for use in diagnosing or treating a health problem or disease without consultation with a qualified healthcare provider. This chapter is not a substitute for professional medical advice, or treatment for specific medical conditions.

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“…It appears that the timing of the inciting event ultimately produces a spectrum of phenotypic manifestation with earlier disruption leading to potentially more global and devastating findings (Higginbottom, Jones, Hall, & Smith, ). Presentation of limb and craniofacial involvement is largely unknown, with 50 cases reported over 25 years (Cortez‐Ortega et al, ). Several reasons contribute to the uncertainty regarding exact incidence of this condition: (a) the number of cases of this devastating condition resulting in nonviable fetus, (b) difficulty establishing proper diagnosis, and (c) different approaches among various involved fields (orthopedic, plastic, maxillofacial, and neurosurgery).…”

Section: Introductionmentioning

confidence: 99%

Case series: Amniotic band sequence with craniofacial abnormalities

Lies

Beckwith

Mills

et al. 2019

Birth Defects Research

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Background: To objectively describe craniofacial, visual, and neurological features associated with amniotic band syndrome (ABS) and discuss likely associated multifactorial etiology. Methods: A retrospective review of patients identified with ABS and concomitant limb involvement and craniofacial features was conducted. The following data were collected from the patients' medical records: demographic information, past medical history including birth history, surgical history, previous clinic visits/physical exams, description of craniofacial features and ABS, family history, any noted obstetric complications, visceral features, visual features, craniofacial features, intracranial features, neurological symptoms, developmental features, diagnostic tests (including radiographs, IQ testing, EEG findings, chromosomes), photographs, and treatment history. Results: Seven patients were included in the final cohort, all of whom had a cleft lip with six having both cleft lip and palate. Other craniofacial abnormalities seen were facial clefts which were vertical oblique in nature, tear duct involvement, cranial deformities that required surgical correction with cranial reconstruction, recorded hypertelorism with vision and gaze abnormalities, coloboma, lagopthalmos and optic never dysplasia. Conclusions: This case series presents seven children with craniofacial involvement associated with amniotic band sequence and attempts to categorize the salient dysmorphology and neurocognitive development. Major craniofacial anomalies in patients with ABS is a rare clinical finding that cannot be completely explained on the basis of premature amniotic layer disruption alone. This study supports that the dysmorphology seen in cases of ABS with craniofacial involvement is complex and most likely multifactorial.

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Management of the Amniotic Band Syndrome with Cleft Palate: Literature Review and Report of a Case

Cited by 9 publications

References 22 publications

Amniotic Band Syndrome: A Silent Knife In-Utero

Amniotic Band Syndrome: A Silent Knife In-Utero

Placental Abnormalities

Case series: Amniotic band sequence with craniofacial abnormalities

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