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婴儿期神经外胚层肿瘤的麻醉管理:1例罕见病例报告

Anaesthetic Management of a Neuroectodermal Tumor of Infancy: A Rare Case Report.

作者信息

Ubale Pravin, Baldwa Namita, Gujjar Pinakin

机构信息

Department of Anaesthesiology, TNMC and BYL Nair Hospital, Mumbai, Maharashtra, India.

出版信息

Anesth Essays Res. 2017 Jan-Mar;11(1):251-253. doi: 10.4103/0259-1162.186863.

Abstract

Melanotic neuroectodermal tumor of infancy is a relatively uncommon osteolytic-pigmented neoplasm that primarily affects the jaws of infants. We report a 5-month-old male child who presented with a swelling in the right upper tooth region of upper jaw in which we face difficult mask ventilation as well as difficult intubation. Wide surgical excision was performed under general anesthesia. The uneventful course of anesthesia in the presented case was due to the thorough systemic evaluation and careful anesthetic strategy. Patients of congenital epulis continue to pose challenge to anesthesiologist as a consequence of the potential difficult mask ventilation and intubation. We hereby present a case of congenital epulis repair using diode laser under general anesthesia.

摘要

婴儿黑色素神经外胚层肿瘤是一种相对罕见的溶骨性色素性肿瘤,主要影响婴儿的颌骨。我们报告一名5个月大的男童,其上颌右侧牙齿区域出现肿胀,我们在该病例中面临面罩通气困难和插管困难。在全身麻醉下进行了广泛的手术切除。本病例麻醉过程顺利是由于进行了全面的系统评估和制定了谨慎的麻醉策略。由于存在潜在的面罩通气困难和插管困难,先天性牙龈瘤患者仍然给麻醉医生带来挑战。我们在此介绍一例在全身麻醉下使用二极管激光修复先天性牙龈瘤的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d375/5341631/31121185d041/AER-11-251-g001.jpg

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