title: Prenatal diagnosis of cleft lip/palate: The surface rendered oro-palatal (SROP) view of the fetal lips and palate, a tool to improve information-sharing within the orofacial team and with the parents.
abstract: The ultrasonographic surface rendered oro-palatal (SROP) view is a 3D reconstructed view of the fetal perioral region, which combines ultrasound insonation in a trans oral, upward directed axial direction and the surface rendered mode. It allows the simultaneous visualization on a single scan of the superior lip, alveolar ridge and secondary palate. It corresponds prenatally to the submental intra oral photography of the palate of neonates. The aim of the study was to demonstrate the benefice of using the SROP view in the management of cleft lip with or without cleft palate, uni- or bi-lateral, diagnosed prenatally (22-28 gestational weeks). The SROP view allowed the representation on a single view of the characteristics of the defect useful to the different members of the orofacial team to exactly evaluate the difformity and to plan the ulterior therapeutic steps (e.g. side, extension of the cleft to the secondary palate, tooth organization). Also, being easier to read by lay people thanks to the use of a surface rendered representation rather than the usual multiplanar reconstructions in the three traditional orthogonal planes, the SROP view makes it easier to bring exact information to the parents about the malformation and its consequences.
authors.affiliation: Center for Woman and Fetal Imaging, 10 avenue de Verdun, 94000 Créteil, Val-de-Marne, France. Electronic address: jean-marc.levaillant@orange.fr.
authors.forename: Jean-Marc
authors.initials: JM
authors.lastname: Levaillant
authors.affiliation: Center for Woman and Fetal Imaging, 10 avenue de Verdun, 94000 Créteil, Val-de-Marne, France. Electronic address: romain.nicot@gmail.com.
authors.forename: Romain
authors.initials: R
authors.lastname: Nicot
authors.affiliation: Department of Maxillofacial Surgery, Antony Private Hospital, 1 rue Velpeau, 92160 Antony, Hauts-de-Seine, France. Electronic address: benouaiche@free.fr.
authors.forename: Laurence
authors.initials: L
authors.lastname: Benouaiche
authors.affiliation: Department of Maxillofacial Surgery and Stomatology, Children Mouth and Face Institute, Necker Enfants Malades University Hospital, 149 rue de Sèvres, 75015 Paris, France. Electronic address: gerard.couly@gmail.com.
authors.forename: Gérard
authors.initials: G
authors.lastname: Couly
authors.affiliation: Department of Gynecology and Obstetrics, Delafontaine General Hospital, 2 rue du Docteur Pierre-Delafontaine, 93200 Saint-Denis, Seine-Saint-Denis, France. Electronic address: daniel.rotten@wanadoo.fr.
authors.forename: Daniel
authors.initials: D
authors.lastname: Rotten
mesh_terms: D002971:Cleft Lip / Q000000981:diagnostic imaging* / Q000473:pathology; D002972:Cleft Palate / Q000000981:diagnostic imaging* / Q000473:pathology; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007091:Image Processing, Computer-Assisted; D021621:Imaging, Three-Dimensional; D010290:Parents; D010348:Patient Care Team; D010353:Patient Education as Topic; D011247:Pregnancy; D011446:Prospective Studies; D016216:Ultrasonography, Prenatal / Q000379:methods*
keywords: Cleft lip ± palate; Information-sharing; Prenatal diagnosis; Surface rendered oro-palatal (SROP) ultrasonographic view