Teratoma in a newborn: an unusual cause of airway obstruction.
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.
Department of Otolaryngology/Head and Neck Surgery, Free University Hospital, Amsterdam, The Netherlands.
R
R
de Bree
K
K
Haasnoot
H F
HF
Mahieu
D000402:Airway Obstruction / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D018572:Disease-Free Survival; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007828:Laryngoscopy; D009959:Oropharyngeal Neoplasms / Q000150:complications / Q000175:diagnosis*; D012127:Respiratory Distress Syndrome, Newborn / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D013724:Teratoma / Q000150:complications / Q000175:diagnosis*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome