6: Prenatal Diagnostic of Pierre-Robin Sequence (PRS) Using Ultrasound
Autor: | Raeesa Islam, BS, Erin Anstadt, MD, Madeleine Bruce, BA, Miles Pfaff, MD MHS, Timothy Canavan, MD, Jesse Goldstein, MD |
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Jazyk: | angličtina |
Rok vydání: | 2021 |
Předmět: | |
Zdroj: | Plastic and Reconstructive Surgery, Global Open, Vol 9, Iss 7S, Pp 24-25 (2021) |
Druh dokumentu: | article |
ISSN: | 2169-7574 84241632 |
DOI: | 10.1097/01.GOX.0000770056.06953.44 |
Popis: | Purpose: Pierre-Robin Sequence (PRS) is characterized by micrognathia and glossoptosis and can result in upper airway obstruction. Prenatal diagnosis of PRS facilitates delivery team preparation for an airway emergency. Routine 20-week ultrasounds screen facial features and can characterize mandibular morphology and the maxillomandibular relationship. This study aimed to evaluate 20-week fetal ultrasounds to determine if specific facial measurements could predict PRS diagnosis and disease severity. Methods: A retrospective case control study of 40 patients with PRS and 40 gender-matched controls (24 male, 16 female in each cohort) between January 2014 and May 2019 was performed. Respiratory and surgical interventions were recorded and scored for severity. Mid-sagittal profile images of the ultrasounds were reviewed and measured for 3 parameters to assess micrognathia: facial nasomental angle (FNMA), facial-maxillary angle (FMA), and alveolar overjet. FMA |
Databáze: | Directory of Open Access Journals |
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