USE OF 3D/4D ECHOGRAPHY TO DIAGNOSE FETAL FACIAL ANOMALIES IN THE FIRST TRIMESTER OF PREGNANCY


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Resumo

Objective. To investigate the capabilities of three-dimensional (3D) and real-time three-dimensional (4D) echography in diagnosing fetal facial anomalies in the first trimester of pregnancy. Material and methods. Fifteen cases of successful verified diagnosis of various fetal facial anomalies in the first trimester of pregnancy and 2 cases presumptively diagnosed as having clefts of the upper lip and palate, which was excluded on further ultrasound imaging. Results. Middle upper lip and palate clefts were suspected in 3 cases at less than 11 weeks’ gestation, in 1 of them, these were not confirmed on further examination. Facial anomalies were found in the other 14 cases at 11 to 14 weeks, 5 (35.7%) of them had severe facial defects concurrent with anomalies of the central nervous and other systems. Conclusion. 3D/4D ultrasound has been shown to be of high informative value and visualization in diagnosing fetal facial anomalies in the f irst trimester of pregnancy.

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Sobre autores

S. VOYEVODIN

Academician V. I. Kulakov Research Center of Obstetrics, Gynecology, and Perinatology, Ministry of Health and Social Development of Russia

Email: voevod37@yandex.ru

Bibliografia

  1. Benacerraf B.R. Ultrasound of fetal syndromes. — 2-nd ed. -Philadelphia: ELSEVIER, 2008.
  2. Callen P.W. Ultrasonography in obstetrics and gynecology. 5-th ed. - Philadelphia: Saunders; ELSEVIER, 2008.
  3. Keeling J.W., Khong T.Y. Fetal and neonatal pathology, 4-th ed. — London: Springer, 2007.
  4. Kurjak A., Jackson D. An atlas of three-and four-dimensional sonography in obstetrics and gynecology. — London—New York: Taylor & Francis, 2009.
  5. Voevodin S.M. Echographic diagnosis of cheilognathopalatoschisis at the first trimester fetus // Ultrasound Obstet. Gynecol. — 1995. — Vol. 6 (suppl.2). — P. 158.

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