A patient with an epignathus: Management of a large oropharyngeal teratoma in a newborn

被引:30
作者
Izadi, K
Smith, M
Askari, M
Hackam, D
Hameed, AA
Bradley, JP
机构
[1] Univ Calif Los Angeles, Div Plast & Reconstruct Surg, Los Angeles, CA 90024 USA
[2] Childrens Hosp Pittsburgh, Div Plast & Reconstruct Surg, Pittsburgh, PA 15213 USA
[3] Childrens Hosp Pittsburgh, Div Pediat Surg, Pittsburgh, PA 15213 USA
关键词
epignathus; oropharyngeal teratoma; EXIT procedure;
D O I
10.1097/00001665-200307000-00012
中图分类号
R61 [外科手术学];
学科分类号
摘要
An epignathus is an oropharyngeal teratoma composed of cells from ectodermal, mesodermal, and endodermal layers. Epignathi that arise from the palate or pharynx and protrude from the mouth result in life-threatening airway obstruction and usually cause asphyxiation shortly after birth. In our reported case, an antenatal ultrasound diagnosis allowed for preparation of an ex utero intrapartum treatment (EXIT) procedure. A tracheostomy was performed at birth with maternal-fetal blood flow still intact through the umbilical cord. Debulking of the large extraoral portion of the tumor, followed by complete intraoral resection, was performed. Masseteric function and swallowing slowly improved over several weeks. Cleft palate repair is planned at 10 months of age. In the following report, the histology, classification, and pathogenesis of these "parasitic" tumors are reviewed.
引用
收藏
页码:468 / 472
页数:5
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