ultrasound diagnosis of fatal anomalies

FACE AND NECK
Fig. 3.2 Cleft lip and palate. Cross-section of the
upper lip region and the upper jaw at 22 + 2 weeks.
Whereas the contour of the upper lip is interrupted,
the upper jaw is not affected: isolated one-sided cleft
lip.
Procedure after birth: Specific measures are not
indicated. Assistance may be required for feeding,
depending on individual assessment. Repeated
surgical interventions are necessary; correction
of the cleft lip is usually carried out
during the first 6 months of life.
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Fig. 3.3 Cleft lip and palate. Same case;small onesided
cleft lip post partum.
not necessarily mean involvement of the palate
and the jaw. Diagnosis of cleft lip can be made as
early as 12 weeks of gestation.
Clinical management: Screening for other defects
and fetal echocardiography. In the presence
of other anomalies, karyotyping, parental counseling
by an oromaxillary surgeon. Normal antenatal
checks, more frequent if hydramnios is
present (premature labor). Normal delivery.
Prognosis: If the finding is isolated, the prognosis
is very good; otherwise, it depends on the accompanying
anomalies. Midline defects have a
poor prognosis, as they are more often associated
with other brain anomalies.
Self-Help Organizations
Title: Prescription Parents, Inc.
Description: Support group for families of
children with cleft lip and palate. Education
for parents of newborns, presentations by
professionals. Family social events, phone
support network, group development guidelines.
Scope: Model
Founded: 1973
Address: P.O. Box920 554, Needham, MA
02492, United States
Telephone: 781–431–1398
Web: http://www.samizdat.com/pp1.html
Title: Cleft Palate Foundation
Description: Provides information and referrals
to individuals with cleft lip and palate or
other craniofacial anomalies. Referrals are
made to local cleft palate/craniofacial teams
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