title: Elephant Trunk-Like Teratoma of the Face with Compromised Airway in an Infant with Complex Congenital Cardiac Defects: An Anesthetic Challenge.
abstract: Large head and neck teratomas are very rare. Depending on their site of origin, they can produce varying degrees of airway compromise and can interfere with the conduct of general anesthesia. Large space-occupying lesions of the face may even interfere with the simple task of mask ventilation rendering inhaled induction of general anesthesia and maintenance of spontaneous ventilation difficult. If these neoplasms coexist with cardiac lesions necessitating corrective or palliative procedures, the task of oxygenation, ventilation, and securing a definitive airway becomes challenging especially in the presence of underlying unstable hemodynamics. We report on the anesthetic management of a female infant with a facial teratoma and single-ventricle physiology undergoing a cardiac palliative procedure where securing a definitive airway with minimal hemodynamic instability was the immediate requirement.
authors.affiliation: From the Department of Cardiac Anesthesia, Royal Hospital, Muscat, Sultanate of Oman.
authors.forename: Madan Mohan
authors.initials: MM
authors.lastname: Maddali
authors.forename: Faisal Khalfan Ahmed
authors.initials: FK
authors.lastname: Al Balushi
authors.forename: Niranjan Dilip
authors.initials: ND
authors.lastname: Waje
mesh_terms: D000402:Airway Obstruction / Q000503:physiopathology* / Q000601:surgery; D000769:Anesthesia, Inhalation / Q000379:methods*; D005145:Face / Q000473:pathology*; D005260:Female; D006331:Heart Diseases / Q000151:congenital / Q000503:physiopathology* / Q000601:surgery; D006801:Humans; D007223:Infant; D013724:Teratoma / Q000473:pathology / Q000503:physiopathology* / Q000601:surgery