학술논문

Newborn Glial Heterotopia with Upper Airway Obstruction Who Underwent Endoscopic Nasal Surgery / 上気道閉塞を来たし内視鏡下鼻腔手術を実施した新生児glial heterotopia症例
Document Type
Journal Article
Source
日本鼻科学会会誌 / Nihon Bika Gakkai Kaishi (Japanese Journal of Rhinology). 2021, 60(1):21
Subject
Airway obstruction
Endoscopic nasal surgery
Glial heterotopia
Newborn baby
glial heterotopia
内視鏡下鼻腔手術
新生児
気道狭窄
Language
Japanese
ISSN
0910-9153
1883-7077
Abstract
The patient was female and less than 1-month-old. She began to have sleep apnea on day 11 of life, and a right nasal mass was noted on day 14 of life. On the 19th day of life, she was sedated, and a contrast magnetic resonance imaging (MRI) was done, after which she was intubated because of worsening upper airway obstruction. The lesion was biopsied using a 2-mm bronchial fiber, and the diagnosis of glial heterotopia was confirmed by histopathological examination. Surgery was performed on the 25th day of life. A 1.9-mm endoscope and a 2.9-mm microdebrider were used to resect the lesion. The anterior part of the lesion was solid, but the posterior part was cystic. The patient’s postoperative course was excellent. She was extubated on postoperative day 1 and discharged on postoperative day 6. At one year after surgery, there was no recurrence of upper airway obstruction due to enlargement of the lesion, and no evidence of collateral damage from surgery. Although complete resection of the lesion was not possible due to the location of the lesion, endoscopic nasal surgery preserved the function and improved upper airway obstruction.