de Bree R, Haasnoot K, Mahieu H F
Department of Otolaryngology/Head and Neck Surgery, Free University Hospital, Amsterdam, The Netherlands.
Int J Pediatr Otorhinolaryngol. 1998 Jun 1;44(1):39-42. doi: 10.1016/s0165-5876(98)00040-8.
We report the case of a newborn girl who presented with an inspiratory stridor and apneic episodes due to a mass in the oropharynx. On flexible pharyngo-laryngoscopy, it appeared that on inspiration this swelling, originating from the oropharynx, was sucked into the larynx, obstructing the airway. After intubation under flexible optic control the swelling was excised using the CO2-laser. Histopathological examination showed a teratoma of the oropharynx. The postoperative course was uneventful. Teratomas of the oropharynx are rare and are treated by surgical excision. If respiratory distress accompanies the lesion, priority must be given to securing the airway.
我们报告了一名新生儿女孩的病例，她因口咽肿物出现吸气性喘鸣和呼吸暂停发作。在软性咽喉镜检查中，发现这个起源于口咽的肿物在吸气时被吸入喉部，阻塞了气道。在软性光学控制下进行插管后，使用二氧化碳激光切除了肿物。组织病理学检查显示为口咽畸胎瘤。术后过程顺利。口咽畸胎瘤罕见，通过手术切除治疗。如果病变伴有呼吸窘迫，必须优先确保气道安全。
