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先天性咽颌及宫外产时治疗程序

Congenital Epignathus and Extra-Uterine Intrapartum Treatment Procedure.

作者信息

Dirican Aylin Önder

机构信息

Başkent University Gynecology and Obstetrics Clinic, Konya, Turkey.

出版信息

J Obstet Gynaecol India. 2024 Dec;74(6):547-549. doi: 10.1007/s13224-023-01901-5. Epub 2023 Dec 8.

DOI:10.1007/s13224-023-01901-5
PMID:39758576
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11693625/
Abstract

BACKGROUND

Epignathus is a rare kind of teratoma. Its estimated incidence is one in 35,000-200,000 live births, and it may cause high mortality by causing airway obstruction in the neonatal period. It is generally diagnosed in the prenatal period. Prenatal diagnosis and follow-up are important for multidisciplinary preparation during delivery. Ultrasound and magnetic resonance imaging are used in its diagnosis and location. If appropriate, the extra-uterine intrapartum treatment procedure to excise the mass or open the airway and future palate repair are current treatment options.

CASE PRESENTATION

In this report, we will present an epignathus originating from hard palate and protruding from the oral cavity. It was treated by EXIT procedure successfully.

CONCLUSION

Congenital epignathus is a rare anomaly that can threaten the life of the newborn at birth. Where appropriate, the EXIT procedure provides successful treatment.

摘要

背景

上颌寄生胎是一种罕见的畸胎瘤。其估计发病率为每35000 - 200000例活产中有1例,它可能在新生儿期因导致气道阻塞而引起高死亡率。它通常在产前被诊断出来。产前诊断和随访对于分娩期间的多学科准备很重要。超声和磁共振成像用于其诊断和定位。如果合适,切除肿块或打开气道的宫外产时治疗程序以及未来的腭裂修复是目前的治疗选择。

病例报告

在本报告中,我们将展示一例源自硬腭并从口腔突出的上颌寄生胎。它通过宫外产时治疗程序成功治疗。

结论

先天性上颌寄生胎是一种罕见的异常情况,可在出生时威胁新生儿的生命。在合适的情况下,宫外产时治疗程序可提供成功的治疗。

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本文引用的文献

1
Congenital epignathus associated with a cleft palate: a case report.先天性悬垂腭并腭裂:病例报告。
J Med Case Rep. 2021 Aug 3;15(1):422. doi: 10.1186/s13256-021-03007-w.
2
Epignathus with oropharynx destruction.伴有口咽破坏的上颌寄生胎。
Autops Case Rep. 2021 Jun 25;11:e2021293. doi: 10.4322/acr.2021.293. eCollection 2021.
3
Management of oropharyngeal teratoma: Two case reports and a literature review.口咽畸胎瘤的管理:两例病例报告及文献综述
J Int Med Res. 2021 Feb;49(2):300060521996873. doi: 10.1177/0300060521996873.
4
An autopsy case of epignathus (immature teratoma of the soft palate) with intracranial extension but without brain invasion: case report and literature review.1例伴有颅内扩展但无脑侵犯的上颌咽囊肿(软腭未成熟畸胎瘤)尸检病例:病例报告及文献复习
Diagn Pathol. 2018 Dec 22;13(1):99. doi: 10.1186/s13000-018-0776-y.