The purpose of this study was to describe the midline maxillofacial sk
eleton (the axial skeleton anterior to the sella turcica) in 15 human
anencephalic fetuses (14-19 weeks of gestation) by radiography and his
tology, and to relate the findings to skeletal patterns in the remaini
ng part of the axial skeleton. Four patterns in the maxillofacial skel
eton were recognized: normal structures, slightly deformed (6 cases);
cleft palate (3 cases); incomplete nasal septum (3 cases); multilocula
r ethmoid cartilage (3 cases). No association was found between skelet
al patterns in the different parts of the axial skeleton. The study de
monstrates the existence of a developmental borderline in the anenceph
alic axial skeleton in the region of the sella turcica. It is presumed
that this borderline indicates the boundary between skeletal tissue d
eveloped around the notochord (posterior axial skeleton) and the anter
ior skeletal components derived from neural crest cells.