Fetal MRI shows an epignathus, or a teratoma arising from th | Figure 1

CincyKidsRad

Cincinnati Children's Radiology


Fetal MRI shows an epignathus, or a teratoma arising from the oropharynx. Because of the location of the tumor, the fetus has difficulty swallowing leading to polyhydramnios. The tumor is identified on prenatal imaging as a mass extending out of the mouth. The fetus has a poor prognosis due to airway obstruction. Depending on the location, size of the tumor, and associated anomalies, the fetus can be delivered via an ex utero intrapartum treatment (EXIT) to tracheostomy procedure. In this procedure, the baby is partially delivered. While the baby is still attached by the umbilical cord to the placenta, a second surgical team attempts to secure an airway for the baby. #NeuroWednesday


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