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Radiology
Cleft Lip and Palate
Built from Obstetric Imaging
What’s inside
7 sections · 69 slides
Overview
- What this deck covers
The defect in plain terms
What fails to join, and what we call it
- What a cleft actually is
- The parts a cleft can involve
- Normal lip and palate, seen from below
- Two building units, not one
- Where the gap sits changes everything
- 1:700
- How common, and in whom
- The company a cleft keeps
- What causes a cleft
The four types
Lip only, lip and palate, palate only, midline
- Four forms, four very different stories
- Cleft lip alone
- Cleft lip on one side and on both sides
- Cleft lip with cleft palate
- Cleft lip and palate on one side and on both sides
- One-sided cleft lip and palate, enlarged
- Two-sided cleft lip and palate, enlarged
- Cleft palate alone
- Cleft of the palate with a normal lip
- Median cleft lip and palate
- Midline cleft of lip and palate
- One side or both sides
The risk that travels with the cleft
Why the face is only the starting point
- A cleft is a signpost, not just a gap
- What decides the outcome
Finding it on ultrasound
Which view answers which question
- The first hints, at 11 to 13 weeks
- When the diagnosis can actually be made
- Three views, three questions
- Normal upper lip in the oblique view
- Normal gum ridge in the transverse view
- The oblique view
- The axial view of the upper jaw
- Does the gap cross bone?
- The midline sagittal view
- Left-sided cleft lip in the oblique view
- Broken gum ridge in the transverse view
- Surface-rendered view of the same cleft
- Reading a one-sided cleft
- Cleft lip and palate on both sides
- Gum ridge broken on both sides
- Midline lump hanging under the nose
- Reading a two-sided cleft
- Why the back of the palate is so hard to see
- Two tricks that open the blind spot
- The bat sign of the normal posterior palate
- Posterior palate with the centre missing
- Bat sign: present or broken
- Midline cleft on the scan
- Midline cleft in the oblique view
- Midline cleft in the sagittal view
- The same face after birth
- Classic signs to report
- Where MRI fits
- Where 3D ultrasound fits
- Rendered face of a fetus with a left cleft
Look-alikes
Two things that can imitate a cleft
- What else can look like this
What happens next
Counselling, delivery, and repair
- Nothing to do before birth
- The path after the scan finds a cleft
- Care after delivery
- The repair timeline
- What the referring doctor must be told
- Counselling about the next pregnancy
- Key points
- The five-line summary
- References
- References (continued)
- References (continued)
- References (continued)
- Suggested readings
- Obstetric Imaging: Fetal Diagnosis and Care, 2nd Edition