Isamade Es, Soo Ct, Efu Me
J West Afr Coll Surg. 2013 Apr;3(2):89-95.
Congenital sublingual/lingual cysts are rare, and may present with feeding difficulty; and rarely with respiratory distress in the neonate. A seven days old male neonate weighing 2.6kg was referred to a teaching hospital in Nigeria with a swelling in the oral cavity noticed at birth; associated with symptoms of inability to breastfeed, close the mouth and partial airway obstruction. Complete airway obstruction occurred, with cannot intubate- cannot ventilate situation during inhalational anaesthesia for surgical treatment, which was successfully managed. We report the case to highlight the simple but life saving approach of needle aspiration in airway management for a cannot intubate- cannot ventilate situation due to a giant neonatal sublingual cyst.
先天性舌下/舌囊肿罕见，可能表现为喂养困难；新生儿很少出现呼吸窘迫。一名7天大、体重2.6千克的男婴因出生时发现口腔肿胀被转诊至尼日利亚的一家教学医院；伴有无法母乳喂养、无法闭口和部分气道阻塞的症状。在进行手术治疗的吸入麻醉期间发生了完全气道阻塞，出现了无法插管-无法通气的情况，但最终成功处理。我们报告该病例以强调在因巨大新生儿舌下囊肿导致无法插管-无法通气的情况下，针吸在气道管理中简单却能挽救生命的方法。
