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Pathologic Quiz Case 1
Arch Otolaryngol Head Neck Surg. 1998;124:1394-1397.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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A GIRL weighing 3 kg was delivered by cesarean section because of fetal heart decelerations after 42 weeks of gestation. The patient's mother, a 23-year-old gravida 2, para 1001, had a prenatal history that was significant for gonorrhea in the first trimester, for which she received adequate therapy; there was no evidence of polyhydramnios.
The patient's initial Apgar scores were 4 and 8. A large intraoral mass was immediately apparent. Initial attempts at intubation were unsuccessful because of the bulk of the mass. However, oxygenation was maintained by face mask until successful intubation was completed in the pediatric intensive care unit. The patient was thought to be stable and was transferred to the neonatal intensive care unit of a tertiary care center for definitive treatment.
Initial evaluation revealed a paralyzed and sedated neonate with a 3.5 endotracheal tube in place. Hypertelorism with a depressed nasal bridge was evident. A nasogastric . . . [Full Text of this Article]
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