선천성 태아 경부 미성숙 기형종에서의 EXIT Procedure 1예
A Case of the EXIT(Ex Utero Intrapartum Treatment) procedure in Congenital Fetal Cervical Immature Teratoma
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참고문헌
초록
The exutero intrapartum treatment (EXIT) is an uncommon procedure indicated for fetal lesions with the potential to cause lifethreatening airway obstruction immediately after child delivery. Maintenance of the maternal-fetal circulation under the general anesthesia can allow time for the fetal airway to be secured before delivery. Cervical teratomas are rare congenital tumors derived from all three germ cell layers. The vast majority are histologically benign, but the significant size can potentiate life-threatening upper airway obstruction. We have recently experienced a case of the large fetal cervical teratoma diagnosed prenatally on ultrasonography and treated surgically using the EXIT procedure. (Korean J Otorhinolaryngol-Head Neck Surg 2008;51:681-5)
Abstract
The exutero intrapartum treatment (EXIT) is an uncommon procedure indicated for fetal lesions with the potential to cause lifethreatening airway obstruction immediately after child delivery. Maintenance of the maternal-fetal circulation under the general anesthesia can allow time for the fetal airway to be secured before delivery. Cervical teratomas are rare congenital tumors derived from all three germ cell layers. The vast majority are histologically benign, but the significant size can potentiate life-threatening upper airway obstruction. We have recently experienced a case of the large fetal cervical teratoma diagnosed prenatally on ultrasonography and treated surgically using the EXIT procedure. (Korean J Otorhinolaryngol-Head Neck Surg 2008;51:681-5)
참고문헌 (9)
- Dahlgren G, "Four cases of the exutero intrapartum treatment (EXIT) procedure: Anesthetic implications", Int J Obstet Anesth, 13(3), pp.178~182 (2004)
- Park SH, "A case of fetal cervical immature teratoma", Korean J Obstet Gynecol, 42(11), pp.2600~2603 (1999)
- 심재량, "임신 20주에 초음파로 진단된 안면 및경부 미성숙 기형종 1예", 대한산부인과학회잡지, 45(9), pp.1649~1652 (2002), 대한산부인과학회
- Chinnappa V, "The ex utero intrapartum treatment (EXIT) procedure: Maternal and fetal considerations", Can J Anesth, 54(3), pp.171~175 (2007)
- Ogamo M, "The ex utero intrapartum treatment (EXIT) procedure in Giant fetal neck masses. A case report and review of the literature", Fetal diagn Ther, 20(3), pp.214~218 (2005)
- Hullett BJ, "Airway management of three cases of congenital cervical teratoma. Case report", Paediatr Anaesth, 16(7), pp.794~798 (2006)
- Leva E, "The role of the surgeon in the case of a giant neck mass in the EXIT procedure", J Pediatr Surg, 40(4), pp.748~750 (2005)
- Hirose S, "The ex utero intrapartum treatment procedure: Looking back at the EXIT", J Pediatr Surg, 39, pp.375~380 (2004)
- Muscatello L, "Malignant cervical teratoma: Report of a case in a newborn", Eur Arch otorhinolaryngol, 262(11), pp.899~904 (2005)