A Pitfall in Prenatal Ultrasonic Detection of Submucous Cleft Palate

Ear Nose Throat J. 2022 Nov;101(9):NP369-NP372. doi: 10.1177/0145561320974867. Epub 2020 Nov 23.

Abstract

Objective: We present a case with prenatal diagnosis of submucous cleft palate (SMCP) which was described using 2- and 3-dimensional (3D) ultrasonography in utero.

Case report: A 25-year-old pregnant woman was referred to our department for fetal ultrasound screening. After the detection of cardiac and spinal malformations of fetal, further detailed examination detected SMCP, which showed a gap within the hard palate on axial transversal view with the soft palate visible on sagittal view. The imaging of a defective hard palate in prenatal 3D ultrasonography is similar to that in postmortem 3D computed tomography reconstruction.

Conclusion: A gap within the hard palate and verification of the visibility of the soft palate should be key points in the prenatal diagnosis of SMCP. Three-dimensional ultrasonic imaging is helpful for displaying the shape and extent of the bony defect in SMCP.

Keywords: detection; pitfall; prenatal diagnosis; submucous cleft palate; ultrasound.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Cleft Palate* / diagnostic imaging
  • Female
  • Humans
  • Imaging, Three-Dimensional / methods
  • Palate, Hard / diagnostic imaging
  • Palate, Soft
  • Pregnancy
  • Ultrasonics
  • Ultrasonography, Prenatal / methods
  • Vitamins

Substances

  • Vitamins