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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?

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