In utero diagnosis of a congenital gingival granular cell tumor and immediate postnatal surgical management
| Autor: | Sheldon Mintz, Michael G. McMahon |
|---|---|
| Rok vydání: | 1994 |
| Předmět: |
Adult
medicine.medical_specialty Ultrasonography Prenatal Obstetrics and gynaecology Pregnancy medicine Humans Gingival Neoplasms medicine.diagnostic_test business.industry Vaginal delivery Cephalopelvic disproportion Infant Newborn Pediatric Surgeon Airway obstruction medicine.disease Surgery Fetal Diseases Otorhinolaryngology Granular Cell Tumor Amniocentesis Female Laser Therapy Oral Surgery Airway business |
| Zdroj: | Journal of Oral and Maxillofacial Surgery. 52:496-498 |
| ISSN: | 0278-2391 |
| DOI: | 10.1016/0278-2391(94)90350-6 |
| Popis: | The mother was a 41-year-old gravid 2. para I. healthy white woman, whose first child was delivered by cesarean section because of cephalopelvic disproportion. Her current pregnancy had been uneventful with obstetric landmarks appropriate to the menstrual dating at prenatal examinations performed at 8. 12, 16, 20, 24. and 28 weeks. A survey ultrasound was performed during the 32nd week of pregnancy with a commercial ultrasound scanning system (ACCUSON 120; Computer Sonography, Mountain View, CA) that revealed a single active fetus with a regular heart rate. The child was in the supine position. Further inspection revealed a 13.0 X 13.5 mm circular soft tissue mass extending from the anterior maxilla and projecting posteriorly into the oral pharynx (Figs I, 2). The infant had normal swallowing activity despite the mass. An amniocentesis was performed and a mature lung profile was obtained. All serologic tests were within normal limits. Because of concern for the patency of the infant’s airway. a cesarean section was planned at 37 weeks gestation to prevent disruption of the mass or mechanical obstruction of the airway during a routine vaginal delivery. Planned prevention of airway obstruction required cooperation between the obstetrician, neonatologist. anesthesiologist, pediatric surgeon. and oral and maxillofacial surgeon. The patient was admitted to the high-risk obstetrics ward in her 37th week of pregnancy. A cesarean section was performed under general anesthesia after 20 minutes were allowed for the infant to achieve the maximal anesthetic effect through placental transfer of the anesthetic agent. The child |
| Databáze: | OpenAIRE |
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