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首页> 外文期刊>JAMA otolaryngology-- head & neck surgery >Management of a large antenatally recognized foregut duplication cyst of the tongue causing respiratory distress at birth
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Management of a large antenatally recognized foregut duplication cyst of the tongue causing respiratory distress at birth

机译：处理一个大型的产前公认的舌头前肠复制囊肿，导致出生时出现呼吸窘迫

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摘要

IMPORTANCE Foregut duplication cysts are benign developmental anomalies occurring along the foregut-derived portion of the alimentary tract. Several cases of foregut duplications in the head and neck region have been reported, most without airway symptoms. This case is an antenatally recognized anterior tongue lesion leading to respiratory difficulties at birth that was successfully managed by a coordinated fetal care team.CONCLUSIONS AND RELEVANCE Given the extensive differential diagnosis of cystic head and neck lesions in neonates, imaging is recommended to localize and characterize the lesion because management of these lesions may differ substantially. For cases that are diagnosed antenatally, coordination of a multidisciplinary fetal care team and early discussions can optimize the predelivery workup and provide clear delivery and airway management plans. We recommend complete surgical excision of oral foregut duplication cysts in the perinatal period to prevent complications such as feeding difficulties, infection, and ulceration.OBSERVATIONS We describe a 4.16-kg female born at full term whose anterior tongue lesion was noted on routine prenatal ultrasound. An airway management plan was developed by a multidisciplinary fetal care team, and the airway was controlled at the time of cesarean delivery. The lesion was completely excised on the sixth day of life without complications.
机译：重要信息前肠重复囊肿是沿消化道前肠来源部分发生的良性发育异常。据报道头颈部重复前肠重复的几例，多数无气道症状。该病例为产前公认的前舌部病变，导致出生时出现呼吸困难，已由协调的胎儿护理团队成功处理。结论和相关性考虑到新生儿广泛的头颈部囊性病变的鉴别诊断，建议影像学定位和表征病变，因为这些病变的处理可能有很大不同。对于产前诊断的病例，多学科胎儿护理团队的协调和早期讨论可以优化分娩前检查，并提供清晰的分娩和气道管理计划。我们建议在围产期彻底切除口腔前肠重复囊肿，以防止并发症，例如进食困难，感染和溃疡。观察结果我们描述了一个4.16公斤重的足月出生的女性，在常规产前超声检查中发现其前舌病变。多学科的胎儿护理团队制定了呼吸道管理计划，并在剖宫产时对呼吸道进行了控制。病变在生命的第六天被完全切除，没有并发症。

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