A feasible method to evaluate fetal palate: sequential sector-scan through oral fissure

Abstract Background Prenatal diagnosis of cleft palate is still challenging. To describe a practical and efficient method, sequential sector-scan through oral fissure (SSTOF), to evaluate palate. Methods According to the characteristics of the fetal oral anatomy and ultrasonic directivity, we design...

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Main Authors: Xiaofeng Lu, Yi Zhou, Min Fan, Wanyan Li, Chaoxue Zhang
Format: Article
Language:English
Published: BMC 2023-03-01
Series:BMC Pregnancy and Childbirth
Subjects:
Online Access:https://doi.org/10.1186/s12884-023-05450-7
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author Xiaofeng Lu
Yi Zhou
Min Fan
Wanyan Li
Chaoxue Zhang
author_facet Xiaofeng Lu
Yi Zhou
Min Fan
Wanyan Li
Chaoxue Zhang
author_sort Xiaofeng Lu
collection DOAJ
description Abstract Background Prenatal diagnosis of cleft palate is still challenging. To describe a practical and efficient method, sequential sector-scan through oral fissure (SSTOF), to evaluate palate. Methods According to the characteristics of the fetal oral anatomy and ultrasonic directivity, we designed a practical method, sequential sector-scan through oral fissure, to evaluate the fetal palate, and the approach was verified efficiently by following up results of those fetuses with orofacial cleft who were induced because of their accompanied lethal malformations. Then, the 7098 fetuses were evaluated using sequential sector-scan through oral fissure. Fetuses were followed up after birth or induction to validate and analyze prenatal diagnosis. Result According to the scanning design, sequential sector-scan through oral fissure was performed successfully from the soft palate to the upper alveolar ridge in induced labor fetuses, and the structures were displayed clearly. Among 7098 fetuses, satisfactory images were obtained for 6885 fetuses and the remaining 213 fetuses’ images were unsatisfactory because of fetuses’ positions and pregnant women with high BMI. Among 6885 fetuses, 31cases were diagnosed CLP or CP, which were confirmed after delivery or termination. There were no missing cases. Conclusions SSTOF is a practical and efficient method to diagnose cleft palate, which might be applied to evaluate the fetal palate in prenatal diagnosis.
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spelling doaj.art-e63e6096760e42a2aa533432c8114d052023-03-22T12:38:58ZengBMCBMC Pregnancy and Childbirth1471-23932023-03-012311710.1186/s12884-023-05450-7A feasible method to evaluate fetal palate: sequential sector-scan through oral fissureXiaofeng Lu0Yi Zhou1Min Fan2Wanyan Li3Chaoxue Zhang4Department of Ultrasound, The First Affiliated Hospital of Anhui Medical UniversityDepartment of Ultrasound, The First Affiliated Hospital of Anhui Medical UniversityDermatology, The First Affiliated Hospital of Anhui Medical UniversityDepartment of Ultrasound, The First Affiliated Hospital of Anhui Medical UniversityDepartment of Ultrasound, The First Affiliated Hospital of Anhui Medical UniversityAbstract Background Prenatal diagnosis of cleft palate is still challenging. To describe a practical and efficient method, sequential sector-scan through oral fissure (SSTOF), to evaluate palate. Methods According to the characteristics of the fetal oral anatomy and ultrasonic directivity, we designed a practical method, sequential sector-scan through oral fissure, to evaluate the fetal palate, and the approach was verified efficiently by following up results of those fetuses with orofacial cleft who were induced because of their accompanied lethal malformations. Then, the 7098 fetuses were evaluated using sequential sector-scan through oral fissure. Fetuses were followed up after birth or induction to validate and analyze prenatal diagnosis. Result According to the scanning design, sequential sector-scan through oral fissure was performed successfully from the soft palate to the upper alveolar ridge in induced labor fetuses, and the structures were displayed clearly. Among 7098 fetuses, satisfactory images were obtained for 6885 fetuses and the remaining 213 fetuses’ images were unsatisfactory because of fetuses’ positions and pregnant women with high BMI. Among 6885 fetuses, 31cases were diagnosed CLP or CP, which were confirmed after delivery or termination. There were no missing cases. Conclusions SSTOF is a practical and efficient method to diagnose cleft palate, which might be applied to evaluate the fetal palate in prenatal diagnosis.https://doi.org/10.1186/s12884-023-05450-7Cleft palateCleft lipUltrasoundPrenatal diagnosis
spellingShingle Xiaofeng Lu
Yi Zhou
Min Fan
Wanyan Li
Chaoxue Zhang
A feasible method to evaluate fetal palate: sequential sector-scan through oral fissure
BMC Pregnancy and Childbirth
Cleft palate
Cleft lip
Ultrasound
Prenatal diagnosis
title A feasible method to evaluate fetal palate: sequential sector-scan through oral fissure
title_full A feasible method to evaluate fetal palate: sequential sector-scan through oral fissure
title_fullStr A feasible method to evaluate fetal palate: sequential sector-scan through oral fissure
title_full_unstemmed A feasible method to evaluate fetal palate: sequential sector-scan through oral fissure
title_short A feasible method to evaluate fetal palate: sequential sector-scan through oral fissure
title_sort feasible method to evaluate fetal palate sequential sector scan through oral fissure
topic Cleft palate
Cleft lip
Ultrasound
Prenatal diagnosis
url https://doi.org/10.1186/s12884-023-05450-7
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