Exit : A Salvage Procedure for Intraoral Teratoma
- Author:
Masaany Binti Mansor
;
Ida Sadja'ah Sachlin
;
Norleza Ahmad Norhan
;
Norzi Binti Gazali
;
Siti Sabzah Mohd Hashim
- Publication Type:Case Reports
- From:
The Medical Journal of Malaysia
2012;67(5):530-531
- CountryMalaysia
- Language:English
-
Abstract:
Teratomas arising from the palate or pharynx may cause
immediate life-threatening airway obstruction to the
newborn. Early diagnosis via antenatal ultrasound enables
the treating team to perform an ex utero intrapartum
treatment (EXIT) procedure to secure an airway and perform
subsequent tumour resection. We present the first EXIT
procedure done in Malaysia. A 34 year old , gravida 4, para
3, her unborn child diagnosed at 24 weeks of gestation to
have a large oropharyngeal mass. Upper airway obstruction
was anticipated. Orchestration of multiple specialities was
executed to properly plan and perform the EXIT procedure.
The fetus was delivered at 33 weeks of gestation and
managed to be intubated. The extraoral portion of the
multilobular mass originating from the palate was resected.
Complete resection of the intraoral teratoma was
successfully done at day 22 of life.
