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Massive Extraoral and Parapharyngeal Teratoma With Middle Cranial Fossa Extension in a Premature Infant
David P. Crampsey, MBChB, MRCS(Glasg);
Elliot Benjamin, BSc(Hons), FRCS(ORL-HNS);
Christian Martin Bailey, BSc, FRCS;
Benjamin E. J. Hartley, BSc, FRCS(ORL-HNS)
Arch Otolaryngol Head Neck Surg. 2007;133(3):290-292.
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INTRODUCTION
We report herein the case of a premature infant diagnosed with a massive teratoma antenatally and whose planned delivery with an extrauterine intrapartum treatment procedure was altered emergently by premature labor.
The child was born at 31 weeks' gestation, having been diagnosed with a massive teratoma of the left oral cavity, maxillary sinus, infratemporal fossa, middle cranial fossa, and pterygopalatine region. The child was delivered vaginally and underwent serial excision of this large tumor. A massive extraoral component was removed as an emergency procedure when it induced sepsis. Subsequently, an extensive resection was performed to remove the parapharyngeal and intracranial components of the tumor.
Antenatal screening enables appropriate planning1 for labor and subsequent treatment. Antenatal diagnosis alerts head and neck surgeons, neurosurgeons, radiologists,2 obstetricians, and anesthesiologists, all of whose input . . . [Full Text of this Article]
REPORT OF A CASE
COMMENT
AUTHOR INFORMATION
Author Affiliations: Department of Paediatric Otolaryngology, Head and Neck Surgery, Great Ormond Street Hospital for Children, National Health Service Trust, London, England. Dr Crampsey is now with the North Glasgow Ear, Nose, and Throat Department, Gartnavel General Hospital, Glasgow, Scotland.
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