Zerella J T, Finberg F J
Phoenix Children's Hospital, Arizona.
Surg Gynecol Obstet. 1990 Feb;170(2):126-31.
Most neonates with cervical or oral-pharyngeal teratomas have airway obstruction and an obvious mass. In previous reports, obstruction of the airway had caused 49 deaths in 164 newborns with cervical teratomas and five deaths in 24 newborns with oral-pharyngeal teratomas. Most were reported before the era of prenatal ultrasound. Cervical and oral-pharyngeal teratomas can now be diagnosed prenatally to allow preparation for the neonatal airway obstruction that so often occurs. Three infants with cervical teratomas, one infant with an oral-pharyngeal teratoma and one with a combined cervical and oral-pharyngeal teratoma were born in Phoenix over a one year period of time, and all had airway obstruction. These five patients demonstrated the value of prenatal planning and prompt postnatal surgical care by an ultrasonographer, a perinatologist, a neonatologist, maternal and pediatric anesthesiologists and a pediatric surgeon.
大多数患有颈部或口咽部畸胎瘤的新生儿存在气道梗阻且有明显肿块。在以往的报告中，气道梗阻已导致164例颈部畸胎瘤新生儿中有49例死亡，24例口咽部畸胎瘤新生儿中有5例死亡。大多数报告是在产前超声时代之前。现在可以在产前诊断出颈部和口咽部畸胎瘤，以便为经常发生的新生儿气道梗阻做好准备。在一年时间里，凤凰城有3例颈部畸胎瘤婴儿、1例口咽部畸胎瘤婴儿和1例颈部与口咽部联合畸胎瘤婴儿出生，所有患儿均有气道梗阻。这5例患者展示了由超声科医生、围产医学专家、新生儿科医生、母婴及小儿麻醉医生和小儿外科医生进行产前规划和产后及时手术治疗的价值。
