胎儿MRI评估头颈部血管畸形预测出口-气道手术结果

IF 0.1 Q4 OBSTETRICS & GYNECOLOGY
Azzam Baseri Huddin, H. Abu Hassan, Amilia Afzan Mohd Jamil, Khadijah Mohd Nor
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引用次数: 0

摘要

摘要目的本临床病例报告的目的是强调MRI特征和分期系统,可以指导临床医生确定进一步的管理。本文介绍了三例产前筛查诊断的胎儿头颈部血管畸形。MRI显示巨大的囊性颈部肿块,可能在分娩时危及胎儿气道。因此,这需要产科医生、耳鼻喉科医生、儿科医生、麻醉科医生和放射科医生之间的多学科团队管理。我们决定通过剖宫产辅助出口-气道手术进行复杂分娩。每一种程序都显示了新生儿的不同挑战和结果,这些挑战和结果与基于产前MRI的特征和分期相关。结论头颈部畸形的出口-气道手术可能有助于将复杂和潜在的灾难性分娩情况转移到更可控的环境中。但也需要与产前MRI评估相结合,为临床医生提供更客观的评估指导。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Fetal MRI assessment of head & neck vascular malformation in predicting outcome of EXIT-to-airway procedure
Abstract Objectives The objective of this clinical case report is to highlight the MRI features and staging system which may guide clinicians in determining further management. Case presentation Three different cases with fetal head and neck vascular malformation diagnosed during prenatal screening were presented. MRI demonstrates large cystic neck masses which may compromise fetal airway during delivery. Thus, this required multidisciplinary team management among obstetricians, otolaryngologists, pediatricians, anesthesiologists, and radiologists. A decision for complex birth delivery through the cesarean section aided with EXIT-to-airway procedure was made. Each of these procedures demonstrates the different challenges and outcomes of the neonates which correlated with the characterization and staging based on prenatal MRI. Conclusions EXIT-to-airway procedure in head and neck malformation may be beneficial in transiting complicated and potentially catastrophic delivery situations to a more controlled environment. However, it also needs to align with prenatal MRI evaluation, which provides a more objective assessment guide for the clinicians.
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来源期刊
Case Reports in Perinatal Medicine
Case Reports in Perinatal Medicine OBSTETRICS & GYNECOLOGY-
自引率
0.00%
发文量
37
期刊介绍: Case Reports in Perinatal Medicine is a double-blind peer-reviewed journal. The objective of the new journal is very similar to that of JPM. In addition to evidence-based studies, practitioners in clinical practice esteem especially exemplary reports of cases that reveal specific manifestations of diseases, its progress or its treatment. We consider case reports and series to be brief reports describing an isolated clinical case or a small number of cases. They may describe new or uncommon diagnoses, unusual outcomes or prognosis, new or infrequently used therapies and side effects of therapy not usually discovered in clinical trials. They represent the basic concept of experiences for studies on representative groups for further evidence-based research. The potential roles of case reports and case series are: Recognition and description of new diseases Detection of drug side effects (adverse or beneficial) Study of mechanisms of disease Medical education and audit Recognition of rare manifestations of disease.
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