Prenatal 3D sonography of an isolated lateral facial cleft

Lee, Mina; Ko, Young Bok; Yang, Jung-Bo; Kang, Boyoung

doi:10.1002/jcu.22535

Cited by 3 publications

(5 citation statements)

References 10 publications

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“…Genetic investigations were performed in six cases, which did not reveal any chromosomal abnormalities. 5,6,10,[12][13][14] The noteworthy feature in our case was macrostomia with bilateral diastasis extending to the preauricular area. These structural abnormalities are considered to be associated with restricted movement of the temporomandibular joint (TMJ).…”

Section: Discussionmentioning

confidence: 56%

“…9,11 Intra-uterine synechiae was observed in two cases that was later confirmed during caesarean section. 5,6 However, no clear evidence of amniotic bands was present either at ultrasound or postnatal examination of the neonate and placentas in both cases. Genetic investigations were performed in six cases, which did not reveal any chromosomal abnormalities.…”

Section: Discussionmentioning

confidence: 85%

“…Genetic investigations were performed in six cases, which did not reveal any chromosomal abnormalities. 5 6 10 12 13 14…”

Section: Discussionmentioning

confidence: 99%

“…Very few cases with prenatal diagnosis have been reported in the literature pertaining to lateral facial clefts. [4][5][6][7][8][9][10][11][12][13][14] We report a case of isolated bilateral complete transverse facial cleft diagnosed prenatally at 22 weeks of gestation with the pertinent details of the two-dimensional (2D) and three-dimensional (3D) ultrasound examination and genetic workup. A review of the literature of the previously reported cases is provided for a better understanding of the lateral clefts.…”

Section: Introductionmentioning

confidence: 99%

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Prenatal Diagnosis of a Case of Asyndromic Tessier Class-7 Bilateral Complete Transverse Facial Cleft: Case Report with Review of Literature

Vikraman,

Yandamuri,

Desai

2024

Journal of Fetal Medicine

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Transverse or lateral facial clefts are atypical and rare forms of facial clefts identified as Tessier type 7 in the classification system for orofacial clefts. They have an overall incidence of 1 in 60,000 to 300,000 live births. We report a case diagnosed at 22 weeks of gestation. The two-dimensional (2D) ultrasound examination revealed a single live fetus with a persistently open mouth, failure of visualization of lateral commissures, and mild retrognathia. The three-dimensional (3D) surface rendering of the fetal face demonstrated a bilateral horizontal facial cleft that extended from the lateral commissures to the ears. No additional anomalies were identified. Fetal karyotype and whole exome sequencing reports did not reveal any genomic imbalances. The case highlights the importance of 2D oblique and 3D imaging of the fetal face when subtle findings are detected in routine 2D views. A review of the literature is provided to enhance the understanding of the entity.

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Section: Discussionmentioning

confidence: 56%

Section: Discussionmentioning

confidence: 85%

“…Genetic investigations were performed in six cases, which did not reveal any chromosomal abnormalities. 5 6 10 12 13 14…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Prenatal Diagnosis of a Case of Asyndromic Tessier Class-7 Bilateral Complete Transverse Facial Cleft: Case Report with Review of Literature

Vikraman,

Yandamuri,

Desai

2024

Journal of Fetal Medicine

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“…Including the current report, a total of 11 cases with a lateral facial cleft have been diagnosed prenatally, all of which were initially screened or diagnosed by ultrasonography, which is a routine prenatal screening examination for the fetus. Among the reported cases, the average age of mothers was 31.5 years, and their obstetrical circumstances are listed below[ 12 - 14 ] (Table 1 ). The fetuses were initially suspected to have facial malformations between 21 wk and 33 wk of gestation, and six cases were diagnosed within the mid-trimester.…”

Section: Discussionmentioning

confidence: 99%

Prenatal diagnosis of isolated lateral facial cleft by ultrasonography and three-dimensional printing: A case report

Song¹,

Ma²,

Ye³

et al. 2021

WJCC

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BACKGROUND Lateral facial clefts are atypical with a low incidence in the facial cleft spectrum. With the development of ultrasonography (US) prenatal screening, such facial malformations can be detected and diagnosed prenatally rather than at birth. Although three-dimensional US (3DUS) can render the fetus' face via 3D reconstruction, the 3D images are displayed on two-dimensional screens without field depth, which impedes the understanding of untrained individuals. In contrast, a 3D-printed model of the fetus' face helps both parents and doctors develop a more comprehensive understanding of the facial malformation by creating more interactive aspects. Herein, we present an isolated lateral facial cleft case that was diagnosed via US combined with a 3D-printed model. CASE SUMMARY A 31-year-old G2P1 patient presented for routine prenatal screening at the 22 nd wk of gestation. The coronal nostril-lip section of two-dimensional US (2DUS) demonstrated that the fetus' bilateral oral commissures were asymmetrical, and left oral commissure was abnormally wide. The left oblique-coronal section showed a cleft at the left oral commissure which extended to the left cheek. The results of 3DUS confirmed the cleft. Furthermore, we created a model of the fetal face using 3D printing technology, which clearly presented facial malformations. The fetus was diagnosed with a left lateral facial cleft, which was categorized as a No. 7 facial cleft according to the Tessier facial cleft classification. The parents terminated the pregnancy at the 24 th wk of gestation after parental counseling. CONCLUSION In the diagnostic course of the current case, in addition to the traditional application of 2D and 3DUS, we created a 3D-printed model of the fetus, which enhanced diagnostic evidence, benefited the education of junior doctors, improved parental counseling, and had the potential to guide surgical planning.

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Maternal-fetal medicine fellows’ perception and comfort with obstetrical ultrasound and prenatal diagnosis

Holliman¹,

Pluym²,

Grechukhina³

et al. 2022

American Journal of Obstetrics & Gynecology MFM

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Prenatal 3D sonography of an isolated lateral facial cleft

Cited by 3 publications

References 10 publications

Prenatal Diagnosis of a Case of Asyndromic Tessier Class-7 Bilateral Complete Transverse Facial Cleft: Case Report with Review of Literature

Prenatal Diagnosis of a Case of Asyndromic Tessier Class-7 Bilateral Complete Transverse Facial Cleft: Case Report with Review of Literature

Prenatal diagnosis of isolated lateral facial cleft by ultrasonography and three-dimensional printing: A case report

Maternal-fetal medicine fellows’ perception and comfort with obstetrical ultrasound and prenatal diagnosis

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