Jimiao News Reporter Yan Wen
Correspondent Huang Jieying Ding Xiaoting
Yi Yi (pseudonym) could not feed her milk after birth. Examination found that it was an teratoma that blocked the nasopharynx. Not only could not eat, but even a little crying made her face feel purple. Recently, experts from the Department of Otolaryngology of Hubei Maternal and Child Health Hospital completed a teratoma resection surgery for the baby who was just 4 days old. After many days of careful care, the child has recovered and discharged from the hospital.
Duanxin Director jailed rounds to visit Yiyi
0 On the evening of September 27, Yiyi was born in Xishui County . An hour later, my grandmother fed her some milk with a spoon. Unexpectedly, all the milk overflowed from the child's mouth and nose, and the child cried abnormally. Local doctors found that there was a new creature in Yi Yi's throat, which caused her to dysphagia and . They advised her family to refer to Hubei Maternal and Child Health Hospital as soon as possible.
htmlOn the afternoon of September 28, his father, Mr. Wang, took Yi Yi to the Provincial Maternal and Child Health Hospital for treatment. When Duan Chuanxin, director of the ENT department, was hungry for most of the day, she wanted to eat breastfeed but couldn't feed her. When she cried and moved, she had difficulty breathing, her complexion was blue and her lips were cyanotic. The doctor's endoscopy found that there was a new organism in the nasopharyngeal , which fell into the pharyngeal cavity and blocked the airway.Teratoma under endoscopy
"The child has not been able to eat since he was born and now, and the clogged substance in the nasopharynx needs to be solved as soon as possible. However, the blocked substance is particularly located. The surgical site is very close to the major artery, and the mouth of the newborn is very small, which is very easy to cause major bleeding. The operation is difficult and has a high risk." Duan Chuanxin has been in medicine for more than 20 years and has undergone countless major and large surgeries, but the situation of this surgery is very special. He contacted the neonatal department and after jointly assessing the child's condition, he admitted Yi Yi to the hospital. After improving the relevant examinations, experts from the otolaryngology and neonatal department discussed again. Considering that nasopharyngeal new organisms are highly likely to be benign, Duan Chuanxin decided to perform Yiyi as soon as possible to relieve this "stumbling block" of respiratory feeding.
Preoperative imaging examination
On September 30, with the assistance and cooperation of multiple disciplines, Duan Chuanxin successfully completed a nasopharyngeal tumor resection for the baby girl who had just been born for 4 days. The child breathed smoothly after the operation, and then transferred to the neonatal department to continue treatment. The pathological results showed benign teratoma, and the medical staff and Yi Yi's family were all over the ground. The teratoma removed from surgery
Yiyi's surgical position is quite special. The neonatal medical staff provided her with close life monitoring and nutritional support, and gradually achieved oral feeding. After 10 days of careful treatment, Yiyi's vital signs are currently stable.
It is reported that teratomas originating from the pharynx can occur in the nasopharynx, soft palate , uvula, tonsils, parapharynx space, etc., and more than half of them occur in the nasopharynx. Nasopharyngeal teratomas are more common in infants and young children, with a male-female ratio of about 1:6, the vast majority are benign, and the very few are malignant. Most tumors have pedicles. If the tumor falls largely into the hypopharynx and the throat vestibular, it may cause suffocation; if it falls into the esophagus, it may cause dysphagia; if the nasopharynx is blocked, it may cause , open mouth and breathe , and it may cause suffocation in children.
"Neonatal nasopharyngeal teratoma is very rare." Duan Chuanxin introduced that breathing and sucking difficulties are the two main symptoms of congenital pharyngeal teratoma in neonatal, among which dyspnea was first discovered. If parents find that their children have the above symptoms, they must bring their children to the medical examination in time. If the diagnosis is confirmed, surgical treatment is required as soon as possible.
(Picture provided by Hubei Provincial Maternal and Child Health Hospital)
(Source: Jimu News)
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