Prenatal diagnosis of epignathus with multiple malformations in one fetus of a twin pregnancy using three-dimensional ultrasonography and magnetic resonance imaging

Moon, Na Rae; Min, Jae Young; Kim, Yeon Hee; Choi, Sae Kyung; Shin, Jong Chul; Park, In Yang

doi:10.5468/ogs.2015.58.1.65

Cited by 9 publications

(30 citation statements)

References 15 publications

(30 reference statements)

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“…Fetal MRI was done before delivery to study the relation of the mass to the fetal airways and to exclude intracranial extension of the mass. [1] T2-weighted MRI showed a hyperintense mass with a stalk projecting from the palate and upper lip, measuring 6.7 cm × 5.7 cm in size with no evidence of fetal airway obstruction and/or intracranial extension or central nervous system-related anomalies.…”

Section: Case Reportmentioning

confidence: 99%

“…The incidence of the enigmatic teratoma is 1 in 35,000–1 in 200,000 live births. [1] The tumor produces airway obstruction and is associated with high neonatal mortality rate (80%–100%). [23] Epignathus is usually detected in the second or third trimesters using the two-dimensional (2D) ultrasound;[23] it can be detected early using the three-dimensional (3D) ultrasound and/or magnetic resonance imaging (MRI) technology.…”

Section: Introductionmentioning

confidence: 99%

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Prenatal diagnosis and immediate successful management of isolated fetal epignathus

et al. 2019

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Epignathus or enigmatic teratoma is rare congenital tumor, arising from the sphenoid region of the palate or pharynx. A 30-year-old pregnant woman presented at 34 weeks + 2 days’ gestation with a well-defined solid mass measuring 6.47 cm × 5.7 cm arising from the fetal oral cavity. The color flow mapping showed that the mass was well vascularized, especially in its center, and its blood supply was originated from the fetal oral cavity. The newborn has no chromosomal abnormalities or other associated anomalies and/or intracranial extension immediately and successfully managed after delivery to highlight the importance of prenatal diagnosis and the importance of multidisciplinary team management.

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Section: Case Reportmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Prenatal diagnosis and immediate successful management of isolated fetal epignathus

et al. 2019

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“…Epignathus or enigmatic teratomas are masses that originate from palate and growth toward Rathke pouch. Other teratomas arise from tonsils or bottom of the tongue [ 6 ]. Oral mass can be the cause of cleft palate by being barrier on the way of embryonic plate migration road [ 1 , 6 ].…”

Section: Discussionmentioning

confidence: 99%

“…Other teratomas arise from tonsils or bottom of the tongue [ 6 ]. Oral mass can be the cause of cleft palate by being barrier on the way of embryonic plate migration road [ 1 , 6 ]. The masses of fetal mouth can be diagnosed in the very early stage due to persistent opened fetal mouth.…”

Section: Discussionmentioning

confidence: 99%

Oral Mass of a Fetus Incidentally Found during Second Trimester: Ultrasound Survey and Postnatal Prognosis of the Baby

Durukan

Gündoğan

Kıllı

et al. 2018

Case Reports in Obstetrics and Gynecology

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“…However, it is associated with high mortality and morbidity rates because of severe airway obstruction and other malformations. 36 Rare malignant cases have also been described in the literature. 37 The 3D surface mode shows a solid tumor in front of the fetal mouth ( Fig.…”

Section: Epignathusmentioning

confidence: 99%

Anomalies of the Fetal Face

Merz¹,

Pashaj²

2019

Donald School Journal of Ultrasound in Obstetrics and Gynecology

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Visualization of the fetal face with three-and four-dimensional (3D/4D) ultrasound is a unique experience for both, the parents-to-be and the operator. While the future parents are primarily interested in seeing the surface of the fetal face and facial movements, the operator uses the different display modes for a precise fetal malformation check. The multiplanar mode with a simultaneous display of the three perpendicular planes allows an accurate demonstration of a normal or an abnormal fetal profile. Even if an image of the fetal face is acquired in an oblique position, the stored volume can be rotated by the rotational controls in all three directions, until the face is seen precisely in the median plane. The different surface modes enable the operator to detect abnormal protuberant structures or surface defects, while the transparent mode (maximum mode) reveals ossification defects. During a targeted ultrasound examination of the fetal face, five different regions have to be assessed: the forehead, orbits and eyes, nose, mouth, and chin. With 3D ultrasound the following fetal anomalies can be detected: anomalies including the forehead (anencephaly, protuberant forehead, abnormal metopic suture, frontal encephalocele/meningocele), anomalies of the orbits and the eyes (orbital hypoplasia/microphthalmia, hypertelorism, hypotelorism,cataract, nasolacrimal cyst/dacryocystocele,cyclopia/proboscis), abnormalities of the nose (flat nose, absent nasal bone), abnormalities of the mouth (cleft lip/cleft palate, epignathus, macroglossia, chin anomaly (retrognathia/micrognathia). 3D ultrasonography allows a comprehensive evaluation of the fetal face with different display modes. In contrast to 2D ultrasound, 3D ultrasound enables a detailed demonstration of the soft tissue of the fetal face and thus contributes to a better understanding of the malformation by both the physician and the future parents.

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Prenatal diagnosis of epignathus with multiple malformations in one fetus of a twin pregnancy using three-dimensional ultrasonography and magnetic resonance imaging

Cited by 9 publications

References 15 publications

Prenatal diagnosis and immediate successful management of isolated fetal epignathus

Prenatal diagnosis and immediate successful management of isolated fetal epignathus

Oral Mass of a Fetus Incidentally Found during Second Trimester: Ultrasound Survey and Postnatal Prognosis of the Baby

Anomalies of the Fetal Face

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