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Article Dans Une Revue Clinical Oral Investigations Année : 2018

Fetal dental panorama on three-dimensional ultrasound imaging of cleft lip and palate and other facial anomalies

Résumé

OBJECTIVE: Craniofacial deformities have a high psychosocial impact. The aim of this paper is to improve obstetric ultrasonography and prenatal detection of facial anomalies by providing a new fetal dental panorama. METHODS: The present study describes a new modality to visualize the fetal tooth germs and an easy step-by-step diagnostic approach. Image acquisition was performed between 23 and 32 weeks of gestation using a Voluson E10 GE ultrasound machine with an RM6C transducer (GE Medical Systems, Zipf, Austria). Reconstruction was performed using Omniview from the axial image. Volume contrast imaging (VCI) was used with a thickness of 20 mm, and a render mode that combined "Rx mode" and "surface texture." RESULTS: The resulting imaging allows a more precise visualization of the fetal dental arch and can be obtained between 14 and 28 weeks of gestation. The presence of dental anomalies can be a clue for the diagnosis of various congenital defects, in particular conditions with a shortage of other physical abnormalities, such as ectodermal dysplasia and Binder syndrome. CONCLUSIONS: The creation of a precise fetal dental panorama allows an improved detection of facial deformities. CONCLUSIONS: With the current paper, we want to increase prenatal diagnostics facial anomalies, and help to establish a tailored multidisciplinary treatment plan. This paper should be of interest to readers who are currently treating patients with craniofacial malformations and readers who are performing diagnostic prenatal sonography.
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Dates et versions

hal-04472969 , version 1 (22-02-2024)

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Romain Nicot, Daniel Rotten, Yasmin Opdenakker, Bothild Kverneland, Joel Ferri, et al.. Fetal dental panorama on three-dimensional ultrasound imaging of cleft lip and palate and other facial anomalies. Clinical Oral Investigations, 2018, Clinical Oral Investigations, 23, pp.1561-1568. ⟨10.1007/s00784-018-2586-8⟩. ⟨hal-04472969⟩

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