CASE 13: USG:Antenatal scan

Images show right sided cleft lip with cleft palate.

  • Cleft lip is one of the commonest fetal anomalies.
  • Solitary cleft palate is virtually impossible to accurately diagnose on antenatal ultrasound
  • 3D ultrasound of face helpful in diagnosis
  • Upper lip cleft more common and easily diagnosed.
  • Nyberg Classification (1995)
  • type I: isolated cleft lip alone 
  • type II: unilateral cleft lip and palate 
  • type III: bilateral cleft lip and palate
  • type IV: midline/median cleft lip and palate 
  • type V: facial clefts associated with amniotic band syndrome