Airway management of a massive neonatal cervical teratoma : case report and review
Date
2016-12
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Stellenbosch : Stellenbosch University
Abstract
ENGLISH ABSTRACT: Congenital cervical teratomas are rare tumours notorious for causing neonatal airway embarrassment. We report the multidisciplinary management of a foetus with an antenatally diagnosed massive cervical teratoma. Initial management with an ex-utero intrapartum treatment (EXIT) procedure failed. The neonate was delivered and airway control was then achieved using a supraglottic airway device.
Tracheal intubation was eventually accomplished using fibreoptic bronchoscopy via the supraglottic
airway. The discussion addresses perinatal cervical teratoma with the emphasis on airway management
and the use of supraglottic airway devices.
AFRIKAANSE OPSOMMING: Kongenitale servikale teratome is raar tumore wat bekend daarvoor om neonatale lugweg probleme te veroorsaak. In hierdie gevallestudie bespreek ons die multidissiplinêre hantering van 'n fetus met ‘n massiewe servikale teratoom waarvan die diagnose prenataal gemaak is. Aanvanklike hantering deur middel van ‘n "ex-utero intrapartum treatment" (EXIT) prosedure het gefaal. Na abdominale verlossing is lugweg beheer verkry deur gebruik te maak van ‘n supraglottiese apparaat. Trageale intubasie is na veelvuldige pogings suksesvol uitgevoer met behulp van ‘n veseloptiese brongoskoop deur die supraglottiese lugweg. Die gebruik van supraglottiese lugweë in die lugweghantering van ‘n perinatale servikale teratoom word bespreek.
AFRIKAANSE OPSOMMING: Kongenitale servikale teratome is raar tumore wat bekend daarvoor om neonatale lugweg probleme te veroorsaak. In hierdie gevallestudie bespreek ons die multidissiplinêre hantering van 'n fetus met ‘n massiewe servikale teratoom waarvan die diagnose prenataal gemaak is. Aanvanklike hantering deur middel van ‘n "ex-utero intrapartum treatment" (EXIT) prosedure het gefaal. Na abdominale verlossing is lugweg beheer verkry deur gebruik te maak van ‘n supraglottiese apparaat. Trageale intubasie is na veelvuldige pogings suksesvol uitgevoer met behulp van ‘n veseloptiese brongoskoop deur die supraglottiese lugweg. Die gebruik van supraglottiese lugweë in die lugweghantering van ‘n perinatale servikale teratoom word bespreek.
Description
Thesis (MMed)--Stellenbosch University, 2016.
Keywords
Congenital cervical teratoma -- Risk factors, Lungs -- Obstruction, Newborn infants -- Respiration, Bronchoscopy, UCTD