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CC BY-NC-ND 4.0 · Journal of Fetal Medicine
DOI: 10.1055/s-0044-1779289
Case Report

Prenatal Diagnosis of a Case of Asyndromic Tessier Class-7 Bilateral Complete Transverse Facial Cleft: Case Report with Review of Literature

Seneesh Kumar Vikraman 
1   Centre for Prenatal Diagnosis and Fetal Therapy, ARMC AEGIS Hospital,Perinthalmana, Malappuram, Kerala, India
2   Aster MIMS Hospital, Kottakal, Malappuram, Kerala, India
,
Shasmita Yandamuri
1   Centre for Prenatal Diagnosis and Fetal Therapy, ARMC AEGIS Hospital,Perinthalmana, Malappuram, Kerala, India
,
Jay Desai
1   Centre for Prenatal Diagnosis and Fetal Therapy, ARMC AEGIS Hospital,Perinthalmana, Malappuram, Kerala, India
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Abstract

Transverse or lateral facial clefts are atypical and rare forms of facial clefts identified as Tessier type 7 in the classification system for orofacial clefts. They have an overall incidence of 1 in 60,000 to 300,000 live births. We report a case diagnosed at 22 weeks of gestation. The two-dimensional (2D) ultrasound examination revealed a single live fetus with a persistently open mouth, failure of visualization of lateral commissures, and mild retrognathia. The three-dimensional (3D) surface rendering of the fetal face demonstrated a bilateral horizontal facial cleft that extended from the lateral commissures to the ears. No additional anomalies were identified. Fetal karyotype and whole exome sequencing reports did not reveal any genomic imbalances. The case highlights the importance of 2D oblique and 3D imaging of the fetal face when subtle findings are detected in routine 2D views. A review of the literature is provided to enhance the understanding of the entity.

Keywords

lateral facial cleft - Tessier type - 3D ultrasound - surface rendering - bilateral transverse facial cleft - fetus

Informed Consent

Informed consent was obtained from all women.


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Publication History

Article published online:
16 April 2024

© 2024. Society of Fetal Medicine. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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