Sonographic assessment of fetal secondary palate between 12 and 16 weeks of gestation using three-dimensional

Michal Zajicek1, Reuven Achiron, Boaz Weisz

  • 1Department of Obstetrics and Gynecology, The Chaim Sheba Medical Center, Ramat-Gan, Israel.

Prenatal Diagnosis
|October 12, 2013
PubMed

Insights

Three-dimensional ultrasound can visualize the fetal secondary palate in 38.7% of fetuses between 12-16 weeks gestation. This imaging technique is recommended for high-risk pregnancies for cleft palate.

Area of Science:

  • Medical Imaging
  • Fetal Development
  • Obstetrics

Background:

  • Fetal secondary palate development is crucial for normal facial structure.
  • Early detection of palate abnormalities can inform prenatal management.

Purpose of the Study:

  • To assess the feasibility of visualizing the fetal secondary palate using three-dimensional ultrasound.
  • To evaluate this technique in fetuses between 12 and 16 weeks of gestation.

Main Methods:

  • Prospective acquisition of fetal palate volumes using 3D ultrasound.
  • Fetuses were scanned between 12-16 weeks gestation with specific transducer positioning.
  • Off-line analysis of acquired palate volumes.

Main Results:

  • The secondary palate was visualized in 38.7% (19/49) of fetuses.
  • Complete visualization of both hard and soft palate occurred in 11/49 fetuses.
  • Visualization rates were assessed in fetuses with normal and abnormal facial anatomy.

Conclusions:

  • Three-dimensional ultrasound provides information on fetal secondary palate visualization in early gestation.
  • This method is a potential tool for identifying fetuses at risk for cleft palate.
  • The examination is recommended for pregnancies with elevated risk for cleft palate.
Abstract