The role of integrated imaging techniques for prenatal prediction of phenotype in two cases of facial anomalies.
OBJECTIVE
Fetal face malformations represent one of the most challenging prenatal diagnoses mainly because of the wide range of morphological features involved. We tested an approach based on a combination of conventional two-dimensional ultrasound with the more recent three-dimensional technique plus magnetic resonance imaging, in order to improve parents' understanding of fetal face anomalies, thereby facilitating parent counselling.


METHODS
Two cases of fetal facial anomaly were studied using these combined techniques; one had severe micrognathia and malformation of the ears with preauricular tags, while the other had bilateral dacryocystocele and severe hypertelorism.


RESULTS
The images generated by three-dimensional ultrasound enabled the parents to visualize their child immediately and helped them to adjust to the diagnosis of facial defects and its clinical consequences.


CONCLUSIONS
An approach based on combined use of different imaging techniques was found useful in both cases.
Unità Operativa Ostetricia e Ginecologia, Ospedale V. Buzzi, ICP, Milano. cast@intervare.it
M A
MA
Rustico
F
F
Lalatta
A
A
Righini
L
L
Spaccini
I
I
Fabietti
U
U
Nicolini
D000328:Adult; D000013:Congenital Abnormalities / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000196:embryology; D004431:Ear, External / Q000002:abnormalities / Q000000981:diagnostic imaging / Q000196:embryology; D005145:Face / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000196:embryology; D005260:Female; D006801:Humans; D006972:Hypertelorism / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000196:embryology; D021621:Imaging, Three-Dimensional; D017404:In Situ Hybridization, Fluorescence; D007231:Infant, Newborn; D007765:Lacrimal Apparatus / Q000002:abnormalities / Q000000981:diagnostic imaging / Q000196:embryology; D008279:Magnetic Resonance Imaging / Q000379:methods; D008297:Male; D008844:Micrognathism / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000196:embryology; D009666:Nose / Q000002:abnormalities; D011247:Pregnancy; D011256:Pregnancy Outcome; D011296:Prenatal Diagnosis; D016216:Ultrasonography, Prenatal