Prenatal diagnosis and treatment of craniomaxillofacial anomalies.
Many advances in health care are built on the evolution of technology. An entirely new patient has emerged in fetal medicine, with these advances in prenatal imaging allowing one to see and diagnose disease not previously appreciated. Clinicians can better plan for the delivery of the neonate, with identified anomalies being optimally managed and the impact on the neonate's health minimized. The oral and maxillofacial surgeon offers expertise in the management of craniomaxillofacial anomalies, including congenital tumors, facial clefts, craniosynostosis, micrognathia, and other congenital abnormalities. The techniques for perinatal care of the patient with craniofacial abnormalities continue to evolve as the technology improves. The authors describe their experience and some of the more common abnormalities with their management considerations that may be encountered by the oral and maxillofacial surgeon on the fetal diagnosis and treatment team.
Costello
Bernard J
BJ
Craniofacial and Cleft Surgery, Department of Oral and Maxillofacial Surgery, University of Pittsburgh School of Dental Medicine, 3471 Fifth Avenue, Suite 1112, Pittsburgh, PA 15213, USA. Bjc1@pitt.edu
Edwards
Sean P
SP
D002971:Cleft Lip / Q000601:surgery; D002972:Cleft Palate / Q000601:surgery; D003376:Counseling; D019465:Craniofacial Abnormalities / Q000175:diagnosis* / Q000601:surgery; D003398:Craniosynostoses / Q000175:diagnosis; D015199:Extracorporeal Membrane Oxygenation; D005260:Female; D005315:Fetal Diseases / Q000175:diagnosis* / Q000601:surgery; D046128:Fetal Therapies; D006258:Head and Neck Neoplasms / Q000151:congenital; D006801:Humans; D021621:Imaging, Three-Dimensional; D007231:Infant, Newborn; D008279:Magnetic Resonance Imaging; D008844:Micrognathism / Q000175:diagnosis; D009062:Mouth Neoplasms / Q000151:congenital; D010347:Patient Care Planning; D010348:Patient Care Team; D010610:Pharyngeal Neoplasms / Q000151:congenital; D011247:Pregnancy; D011295:Prenatal Care; D011296:Prenatal Diagnosis; D011368:Professional-Family Relations; D012944:Social Support; D016216:Ultrasonography, Prenatal