Association between first trimester absence of fetal nasal bone on ultrasound and Down syndrome.

Abstract:

OBJECTIVES:To evaluate the association between absence of nasal bone on ultrasound and Down syndrome in fetuses at 11-14 weeks of pregnancy. METHODS:One hundred and ninety-four consecutive fetuses from singleton pregnancies undergoing chorionic villi sampling (CVS) were evaluated by transabdominal ultrasound. A sagittal view of the fetal face was obtained and the absence or presence of nasal bone was recorded and correlated with the fetal karyotype. RESULTS:A successful view of the fetal profile was possible in 183 of 194 (94%) fetuses. The nasal bone was absent in three of five fetuses with Down syndrome, and in one of 175 (0.6%) chromosomally normal fetuses. CONCLUSION:Absence of nasal bone by first trimester ultrasound was significantly associated with Down syndrome. When a proper view of the fetal face was obtained, the nasal bone was visible in more than 99% of karyotypically normal fetuses.

journal_name

Prenat Diagn

journal_title

Prenatal diagnosis

authors

Otaño L,Aiello H,Igarzábal L,Matayoshi T,Gadow EC

doi

10.1002/pd.431

subject

Has Abstract

pub_date

2002-10-01 00:00:00

pages

930-2

issue

10

eissn

0197-3851

issn

1097-0223

journal_volume

22

pub_type

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