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Journal of Indian Association of Pediatric Surgeons
Medknow Publications on behalf of the Indian Association of Pediatric Surgeons
ISSN: 0971-9261 EISSN: 0971-9261
Vol. 12, No. 4, 2007, pp. 226-227
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Bioline Code: ip07073
Full paper language: English
Document type: Case Report
Document available free of charge
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Journal of Indian Association of Pediatric Surgeons, Vol. 12, No. 4, 2007, pp. 226-227
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Ex-Utero intrapartum procedure for congenital high airway obstruction syndrome in a neonate: First case in Alexandria
Youssef, Mohammed Aly
Abstract
Introduction: Large fetal neck masses can present a major challenge for securing an airway at birth with associated risks of hypoxia, brain injury and death. Teratomas of the oropharynx are rare, presenting 3% of teratomas in childhood, and are treated by surgical excision. If respiratory distress accompanies the lesion, priority must be given to the securing of the airway. Case History: We present a case of an infant who was diagnosed antenatally as having a huge oropharyngeal teratoma. The anaesthetic, surgical and neonatology teams were ready to perform surgical excision depending on the placental circulation immediately after securing the airway. The tumour weighed 1591 g and was 20 x 22 x 12 cm. The patient was a male and weighed 715 g. Histopathology showed Grade II teratoma. Conclusion: Large fetal neck masses can present a major challenge for securing an airway at birth with associated risks of hypoxia, brain injury and death. A multidisciplinary team approach combined with an accurate prenatal diagnosis obtained through fetal ultrasound is the key to a successful outcome. Ex utero intrapartum treatment (EXIT) that is based on the placental blood during intubation, tracheostomy or surgical excision is the standard procedure.
Keywords
CHAO syndrome, Ex utero intrapartum treatment, oropharyngeal teratoma
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© Copyright 2007 Journal of Indian Association of Pediatric Surgeons. Alternative site location: http://www.jiaps.com/
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