Runggaldier Daniel, Reinehr Michael, Friedrich Hergen, Henze Georg, Good Dominic, Gysin Claudine
Division of Pediatric Otolaryngology, University Children's Hospital, Zurich, Switzerland.
Department of Otorhinolaryngology, Head & Neck Surgery, University Hospital Zürich, University of Zurich, Zürich, Switzerland.
Front Surg. 2023 May 3;10:1122327. doi: 10.3389/fsurg.2023.1122327. eCollection 2023.
An epignathus is caused by a continuous spectrum of masses of the oral cavity or oropharynx ranging in its entity from mature teratoma to the exceedingly rare fetus-in-fetu. Due to its location, regardless of the entity, the occurrence of an epignathus is frequently associated with life threatening airway obstruction. Here we demonstrate a case of a fetus-in-fetu presenting as an epignatus. We describe its successful management and review the available literature. Early diagnosis and knowledge of the preoperative workup are essential to enable a multidisciplinary management. Once the airway is secured, surgical excision is the treatment of choice often resulting in a good clinical outcome and prognosis.
上颌寄生胎是由口腔或口咽的一系列肿物引起的，其本质范围从成熟畸胎瘤到极其罕见的胎内胎。由于其位置，无论其本质如何，上颌寄生胎的发生常与危及生命的气道阻塞相关。在此，我们展示一例表现为上颌寄生胎的胎内胎病例。我们描述了其成功的治疗过程并回顾了现有文献。早期诊断和术前检查的知识对于实现多学科治疗至关重要。一旦气道得到保障，手术切除是首选治疗方法，通常会带来良好的临床结果和预后。
