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Ultrasound antenatal diagnosis of cleft palate by a new technique: the 3D "reverse face" view.
Ultrasound Obstet Gynecol. 2005 Jan; 25(1):12-8.UO

Abstract

OBJECTIVE

To assess the clinical value of a novel three-dimensional (3D) ultrasound technique, the reverse face view (3D RF view), in the antenatal categorization of facial clefting and in particular clefting of the hard palate.

METHODS

Eight cases of suspected orofacial clefting were examined by 3D surface rendering. The fetal lips and alveolar ridge were examined in the frontal plane and the face was then rotated through 180 degrees on the vertical axis to examine the secondary palate by the 3D RF view.

RESULTS

In each case described, we were able to visualize the fetal face, lips and palate and make an antenatal diagnosis as to whether the palate was affected. In all cases, the antenatal diagnosis was subsequently confirmed. In one case with a left-sided cleft in the lips and alveolar ridge and an intact hard palate, the correct diagnosis was made but a cleft in the soft palate was missed.

CONCLUSION

Although clefts of the lips and alveolar ridge are readily diagnosed on high-quality antenatal ultrasound, visualization of the fetal palate using existing techniques is unreliable. In the patients described here, the 3D RF technique allowed relatively straightforward assessment of the fetal palate with a high degree of accuracy.

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Authors+Show Affiliations

Campbell S
Create Health Clinic, 103-105 Harley Street, Imperial College, London W1G 6AJ, UK. info@createhealth.org
Lees C
No affiliation info available
Moscoso G
No affiliation info available
Hall P
No affiliation info available

MeSH

Cleft LipCleft PalateFemaleFetal DiseasesHumansImage Processing, Computer-AssistedImaging, Three-DimensionalPregnancyUltrasonography, Prenatal

Pub Type(s)

Evaluation Study
Journal Article

Language

eng

PubMed ID

15619313

Citation

Campbell, S, et al. "Ultrasound Antenatal Diagnosis of Cleft Palate By a New Technique: the 3D "reverse Face" View." Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology, vol. 25, no. 1, 2005, pp. 12-8.
Campbell S, Lees C, Moscoso G, et al. Ultrasound antenatal diagnosis of cleft palate by a new technique: the 3D "reverse face" view. Ultrasound Obstet Gynecol. 2005;25(1):12-8.
Campbell, S., Lees, C., Moscoso, G., & Hall, P. (2005). Ultrasound antenatal diagnosis of cleft palate by a new technique: the 3D "reverse face" view. Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology, 25(1), 12-8.
Campbell S, et al. Ultrasound Antenatal Diagnosis of Cleft Palate By a New Technique: the 3D "reverse Face" View. Ultrasound Obstet Gynecol. 2005;25(1):12-8. PubMed PMID: 15619313.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Ultrasound antenatal diagnosis of cleft palate by a new technique: the 3D "reverse face" view. AU - Campbell,S, AU - Lees,C, AU - Moscoso,G, AU - Hall,P, PY - 2004/12/25/pubmed PY - 2005/4/9/medline PY - 2004/12/25/entrez SP - 12 EP - 8 JF - Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology JO - Ultrasound Obstet Gynecol VL - 25 IS - 1 N2 - OBJECTIVE: To assess the clinical value of a novel three-dimensional (3D) ultrasound technique, the reverse face view (3D RF view), in the antenatal categorization of facial clefting and in particular clefting of the hard palate. METHODS: Eight cases of suspected orofacial clefting were examined by 3D surface rendering. The fetal lips and alveolar ridge were examined in the frontal plane and the face was then rotated through 180 degrees on the vertical axis to examine the secondary palate by the 3D RF view. RESULTS: In each case described, we were able to visualize the fetal face, lips and palate and make an antenatal diagnosis as to whether the palate was affected. In all cases, the antenatal diagnosis was subsequently confirmed. In one case with a left-sided cleft in the lips and alveolar ridge and an intact hard palate, the correct diagnosis was made but a cleft in the soft palate was missed. CONCLUSION: Although clefts of the lips and alveolar ridge are readily diagnosed on high-quality antenatal ultrasound, visualization of the fetal palate using existing techniques is unreliable. In the patients described here, the 3D RF technique allowed relatively straightforward assessment of the fetal palate with a high degree of accuracy. SN - 0960-7692 UR - https://www.unboundmedicine.com/medline/citation/15619313/Ultrasound_antenatal_diagnosis_of_cleft_palate_by_a_new_technique:_the_3D_"reverse_face"_view_ L2 - https://doi.org/10.1002/uog.1819 DB - PRIME DP - Unbound Medicine ER -