Yhoshu Enono, Chaudhary Gyanendra, Ahmed Intezar, Gupta Manish Kumar
Department of Pediatric Surgery, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.
Afr J Paediatr Surg. 2021 Apr-Jun;18(2):99-103. doi: 10.4103/ajps.AJPS_77_20.
Facial teratomas are uncommon tumours in children that distort the face and may be associated with functional problems. They are less common than cervical teratomas though they are often grouped together and considered an emergency due to their tendency to cause respiratory compromise. They tend to be large and cause cosmetic issues; hence usually noticed early and medical help sought promptly by parents. The close proximity of facial teratomas to structures like eyes, parotid gland, facial nerve, vessels and brain makes them challenging and requires a patient and meticulous exploration during surgery. We present a case of an 11 month old girl with left sided temporal teratoma. Well planning of the incision and complete excision of the tumour with careful sparing of the facial nerves and parotid gland yielded good result.
面部畸胎瘤在儿童中较为罕见,会使面部变形,并可能伴有功能问题。它们比颈部畸胎瘤少见,不过由于它们往往会导致呼吸功能受损,所以常被归为一类并被视为紧急情况。它们往往体积较大,会引发美容问题;因此通常会较早被发现,家长也会迅速寻求医疗帮助。面部畸胎瘤与眼睛、腮腺、面神经、血管和大脑等结构距离很近,这使得手术颇具挑战性,需要术者耐心细致地进行探查。我们报告一例11个月大左侧颞部畸胎瘤的女童病例。精心规划切口并完整切除肿瘤,同时小心保留面神经和腮腺,取得了良好效果。