Perinatal airway management of neonatal cervical teratomas

Kiarash Taghavi, Robert G. Berkowitz*, A. Michelle Fink, Ross D. Farhadieh, Anthony J. Penington

*Corresponding author for this work

    Research output: Contribution to journalArticlepeer-review

    12 Citations (Scopus)

    Abstract

    Cervical teratomas are rare but life-threatening neonatal tumors and management of the fetus with a cervical teratoma that threatens the airway remains a clinical challenge. This has been revolutionized by advances in fetal imaging and management of the airway at delivery including the use of Ex-utero Intrapartum Treatments (EXIT procedures). We present a retrospective case series of three neonates managed over a 12-month period. Following pre-natal fetal MRI and a multi-disciplinary management approach, two newborns were managed by prompt post-natal endotracheal intubation while an EXIT procedure was required in one. All three underwent surgical resection in the first few days of life. A decision regarding the best means by which to manage the airway in fetal cervical teratoma requires fetal MRI and a multi-disciplinary team approach to determine whether EXIT, or a safer approach from a maternal perspective can be employed. We also recommend routine endotracheal intubation at birth, due to the risk of spontaneous intra-tumoral hemorrhage. The need for surgery should be planned early, as rapid growth of the tumor can threaten the viability of the overlying skin and surrounding structures.

    Original languageEnglish
    Pages (from-to)1057-1060
    Number of pages4
    JournalInternational Journal of Pediatric Otorhinolaryngology
    Volume76
    Issue number7
    DOIs
    Publication statusPublished - Jul 2012

    Keywords

    • Cervical teratoma
    • Ex-utero intrapartum treatments
    • EXIT procedures
    • Fetal MRI
    • Neonatal airway

    Fingerprint Dive into the research topics of 'Perinatal airway management of neonatal cervical teratomas'. Together they form a unique fingerprint.

    Cite this