Management of a large antenatally recognized foregut duplication cyst of the tongue causing respiratory distress at birth

Eric A. Gantwerker, Amy Lawrason Hughes, V. Michelle Silvera, Sara O. Vargas, Reza Rahbar

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

IMPORTANCE Foregut duplication cysts are benign developmental anomalies occurring along the foregut-derived portion of the alimentary tract. Several cases of foregut duplications in the head and neck region have been reported, most without airway symptoms. This case is an antenatally recognized anterior tongue lesion leading to respiratory difficulties at birth that was successfully managed by a coordinated fetal care team.

CONCLUSIONS AND RELEVANCE Given the extensive differential diagnosis of cystic head and neck lesions in neonates, imaging is recommended to localize and characterize the lesion because management of these lesions may differ substantially. For cases that are diagnosed antenatally, coordination of a multidisciplinary fetal care team and early discussions can optimize the predelivery workup and provide clear delivery and airway management plans. We recommend complete surgical excision of oral foregut duplication cysts in the perinatal period to prevent complications such as feeding difficulties, infection, and ulceration.

OBSERVATIONS We describe a 4.16-kg female born at full term whose anterior tongue lesion was noted on routine prenatal ultrasound. An airway management plan was developed by a multidisciplinary fetal care team, and the airway was controlled at the time of cesarean delivery. The lesion was completely excised on the sixth day of life without complications.

Original languageEnglish (US)
Pages (from-to)1065-1069
Number of pages5
JournalJAMA Otolaryngology - Head and Neck Surgery
Volume140
Issue number11
DOIs
StatePublished - Jan 1 2014

Fingerprint

Airway Management
Tongue
Cysts
Neck
Head
Parturition
Differential Diagnosis
Infection

ASJC Scopus subject areas

  • Surgery
  • Otorhinolaryngology

Cite this

Management of a large antenatally recognized foregut duplication cyst of the tongue causing respiratory distress at birth. / Gantwerker, Eric A.; Hughes, Amy Lawrason; Silvera, V. Michelle; Vargas, Sara O.; Rahbar, Reza.

In: JAMA Otolaryngology - Head and Neck Surgery, Vol. 140, No. 11, 01.01.2014, p. 1065-1069.

Research output: Contribution to journalArticle

Gantwerker, Eric A. ; Hughes, Amy Lawrason ; Silvera, V. Michelle ; Vargas, Sara O. ; Rahbar, Reza. / Management of a large antenatally recognized foregut duplication cyst of the tongue causing respiratory distress at birth. In: JAMA Otolaryngology - Head and Neck Surgery. 2014 ; Vol. 140, No. 11. pp. 1065-1069.
@article{c616a192ca2541bdb1c9bb7fdd00e2d7,
title = "Management of a large antenatally recognized foregut duplication cyst of the tongue causing respiratory distress at birth",
abstract = "IMPORTANCE Foregut duplication cysts are benign developmental anomalies occurring along the foregut-derived portion of the alimentary tract. Several cases of foregut duplications in the head and neck region have been reported, most without airway symptoms. This case is an antenatally recognized anterior tongue lesion leading to respiratory difficulties at birth that was successfully managed by a coordinated fetal care team.CONCLUSIONS AND RELEVANCE Given the extensive differential diagnosis of cystic head and neck lesions in neonates, imaging is recommended to localize and characterize the lesion because management of these lesions may differ substantially. For cases that are diagnosed antenatally, coordination of a multidisciplinary fetal care team and early discussions can optimize the predelivery workup and provide clear delivery and airway management plans. We recommend complete surgical excision of oral foregut duplication cysts in the perinatal period to prevent complications such as feeding difficulties, infection, and ulceration.OBSERVATIONS We describe a 4.16-kg female born at full term whose anterior tongue lesion was noted on routine prenatal ultrasound. An airway management plan was developed by a multidisciplinary fetal care team, and the airway was controlled at the time of cesarean delivery. The lesion was completely excised on the sixth day of life without complications.",
author = "Gantwerker, {Eric A.} and Hughes, {Amy Lawrason} and Silvera, {V. Michelle} and Vargas, {Sara O.} and Reza Rahbar",
year = "2014",
month = "1",
day = "1",
doi = "10.1001/jamaoto.2014.2331",
language = "English (US)",
volume = "140",
pages = "1065--1069",
journal = "JAMA Otolaryngology - Head and Neck Surgery",
issn = "2168-6181",
publisher = "American Medical Association",
number = "11",

}

TY - JOUR

T1 - Management of a large antenatally recognized foregut duplication cyst of the tongue causing respiratory distress at birth

AU - Gantwerker, Eric A.

AU - Hughes, Amy Lawrason

AU - Silvera, V. Michelle

AU - Vargas, Sara O.

AU - Rahbar, Reza

PY - 2014/1/1

Y1 - 2014/1/1

N2 - IMPORTANCE Foregut duplication cysts are benign developmental anomalies occurring along the foregut-derived portion of the alimentary tract. Several cases of foregut duplications in the head and neck region have been reported, most without airway symptoms. This case is an antenatally recognized anterior tongue lesion leading to respiratory difficulties at birth that was successfully managed by a coordinated fetal care team.CONCLUSIONS AND RELEVANCE Given the extensive differential diagnosis of cystic head and neck lesions in neonates, imaging is recommended to localize and characterize the lesion because management of these lesions may differ substantially. For cases that are diagnosed antenatally, coordination of a multidisciplinary fetal care team and early discussions can optimize the predelivery workup and provide clear delivery and airway management plans. We recommend complete surgical excision of oral foregut duplication cysts in the perinatal period to prevent complications such as feeding difficulties, infection, and ulceration.OBSERVATIONS We describe a 4.16-kg female born at full term whose anterior tongue lesion was noted on routine prenatal ultrasound. An airway management plan was developed by a multidisciplinary fetal care team, and the airway was controlled at the time of cesarean delivery. The lesion was completely excised on the sixth day of life without complications.

AB - IMPORTANCE Foregut duplication cysts are benign developmental anomalies occurring along the foregut-derived portion of the alimentary tract. Several cases of foregut duplications in the head and neck region have been reported, most without airway symptoms. This case is an antenatally recognized anterior tongue lesion leading to respiratory difficulties at birth that was successfully managed by a coordinated fetal care team.CONCLUSIONS AND RELEVANCE Given the extensive differential diagnosis of cystic head and neck lesions in neonates, imaging is recommended to localize and characterize the lesion because management of these lesions may differ substantially. For cases that are diagnosed antenatally, coordination of a multidisciplinary fetal care team and early discussions can optimize the predelivery workup and provide clear delivery and airway management plans. We recommend complete surgical excision of oral foregut duplication cysts in the perinatal period to prevent complications such as feeding difficulties, infection, and ulceration.OBSERVATIONS We describe a 4.16-kg female born at full term whose anterior tongue lesion was noted on routine prenatal ultrasound. An airway management plan was developed by a multidisciplinary fetal care team, and the airway was controlled at the time of cesarean delivery. The lesion was completely excised on the sixth day of life without complications.

UR - http://www.scopus.com/inward/record.url?scp=84911876380&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84911876380&partnerID=8YFLogxK

U2 - 10.1001/jamaoto.2014.2331

DO - 10.1001/jamaoto.2014.2331

M3 - Article

C2 - 25317853

AN - SCOPUS:84911876380

VL - 140

SP - 1065

EP - 1069

JO - JAMA Otolaryngology - Head and Neck Surgery

JF - JAMA Otolaryngology - Head and Neck Surgery

SN - 2168-6181

IS - 11

ER -