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Fetal Face and Neck

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First-Trimester Ultrasound

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Abstract

Fetal anomalies of the face and neck are the commonest anomalies detected between 11- and 14-week gestational age. Detection of these anomalies, especially facial, should prompt detailed fetal structural examination, especially intracranial evaluation, with consideration of chromosomal testing as well as screening for infectious and/or metabolic disorders. This is because a finding of fetal face or neck anomaly may just be the tip of the proverbial iceberg. The technological improvement in image resolution on ultrasound in addition to 3/4-dimensional ultrasound has further improved the detection rates of anomalies in the face and neck, in the first trimester, which in turn provides a wide array of management options for the pregnant woman.

In this chapter, we address face and neck anomalies that can be detected between 11- and 14-week gestational age and provide information on possible etiologies as well as recommended imaging modalities, which would aid in optimizing visualization.

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Authors and Affiliations

  1. Department of Maternal-Fetal Medicine, Southern Illinois University, Springfield, IL, USA

    Henry O. Adekola

  2. Department of Radiology and Imaging, “Nicolae Testemitanu” State University of Medicine and Pharmacy/Repromed Plus Hospital, Chisinau, Republic of Moldova

    Sergiu Puiu

  3. Department of Obstetrics and Gynecology, University of Chicago, Chicago, IL, USA

    Jacques S. Abramowicz

Authors
  1. Henry O. Adekola
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  2. Sergiu Puiu
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  3. Jacques S. Abramowicz
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Editors and Affiliations

  1. University of Chicago, Chicago, IL, USA

    Jacques S. Abramowicz

  2. University of Chicago, Chicago, IL, USA

    Ryan E. Longman

Electronic Supplementary Material

3D surface rendering of the entire fetus, 12 weeks. The face, body, and limbs are demonstrated (as are fetal movements). Note the triangular shape of the fetal face at this GA. (WMV 167 kb)

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Adekola, H.O., Puiu, S., Abramowicz, J.S. (2023). Fetal Face and Neck. In: Abramowicz, J.S., Longman, R.E. (eds) First-Trimester Ultrasound. Springer, Cham. https://doi.org/10.1007/978-3-031-24133-8_20

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