Prenatal ultrasound diagnosis of Tessier number 7 cleft: Case report and review of the literature

J Obstet Gynaecol. 2017 May;37(4):421-427. doi: 10.1080/01443615.2017.1285274. Epub 2017 Mar 13.

Abstract

Lateral or transverse facial clefts are the most frequent of the atypical facial clefts, classified by Tessier as no. 7 clefts. Most of the cases are diagnosed at birth, while few cases are diagnosed prenatally. We report a case of prenatal ultrasound detection and three-dimensional characterisation of a lateral facial cleft at 21 weeks of gestation, which was terminated at 22 weeks. It was a transverse cleft, running through the left cheek towards the ear, along with micrognathia and mild polyhydramnios. We also present a review on classification, anatomical features and prenatal diagnosis of Tessier no. 7 cleft.

Keywords: Foetal face; orofacial cleft 7; prenatal diagnosis; ultrasound 2D; ultrasound 3D.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Abortion, Induced
  • Adult
  • Amniocentesis
  • Craniofacial Abnormalities / classification
  • Craniofacial Abnormalities / diagnostic imaging*
  • Female
  • Humans
  • Imaging, Three-Dimensional
  • Pregnancy
  • Ultrasonography, Prenatal / methods*