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需要通过EXIT手术分娩的前颅底重复畸形:一例报告。

Anterior skull base duplication requiring delivery via EXIT procedure: A case report.

作者信息

Shires Courtney B, Giurintano Jonathan P, McLevy-Bazzanella Jennifer, Thompson Jerome

机构信息

University of Tennessee Health Science Center, Department of Otolaryngology - Head and Neck Surgery, 910 Madison Avenue Suite 430, Memphis, TN, 38163, USA.

出版信息

Int J Pediatr Otorhinolaryngol. 2018 Dec;115:24-26. doi: 10.1016/j.ijporl.2018.09.010. Epub 2018 Sep 14.

Abstract

Duplication of the anterior skull base structures is an extremely rare malformation of failed midline blastogenesis. We present the case of a child with an obstructive oral cavity mass diagnosed on prenatal imaging. The child was successfully delivered by EXIT procedure, a tracheotomy was performed, and postnatal imaging demonstrated an array of craniofacial malformations, including complete duplication of the maxilla, pituitary glands, aqueducts of Sylvius, and basilar arteries. The child underwent excision of the duplicate maxilla, resulting in a wide cleft palate that will be repaired at a future date.

摘要

前颅底结构重复是一种极其罕见的中线胚基发育失败畸形。我们报告一例产前影像学诊断为阻塞性口腔肿物的患儿。该患儿通过产时宫外治疗手术成功分娩,进行了气管切开术,产后影像学显示一系列颅面畸形,包括上颌骨、垂体、大脑导水管和基底动脉完全重复。患儿接受了重复上颌骨切除术,导致出现宽腭裂,将在日后进行修复。

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