Diagnosis, management, and outcome of cervicofacial @entity44 in neonates: a XXXX Group study.

@entity1 @entity1032 @entity13587 @entity5 @entity245 @entity519 @entity6145 @entity1224 @entity1167 @entity204 @entity44
The management of cervicofacial @entity44 in neonates is often complicated and may result in significant morbidity and @entity204 . A @entity5 Group (CCG) retrospective study was conducted to evaluate a multiinstitutional experience with the treatment of these extremely rare @entity5 . Twenty neonates with cervicofacial @entity44 , presenting from 1971 to 1994, were identified from nine CCG institutions. Fourteen neonates had cervical @entity44 , and six had orofacial @entity44 . There were 12 males and eight females. A diagnostic prenatal ultrasound examination was performed in six cases. Life-threatening @entity1224 occurred in seven @entity1 (35%) in the early postnatal period. Two neonates died in the delivery room without ever having their airway secured. Two other @entity1 with a prenatal diagnosis survived only because tracheostomies were performed by pediatric surgeons who were in the delivery room. Three other @entity1 were orally intubated, one after sustaining hypoxic @entity1167 . Eighteen @entity1 had their primary @entity5 excised. Three @entity1 required tracheostomy. After resection, two @entity1 had evidence of unilateral recurrent @entity13587 , and two required prolonged @entity6145 replacement. Histological examination showed eight mature and seven immature @entity44 . Four @entity1 (20%) clearly had malignant lesions. Pulmonary metastases occurred in two @entity1 and contributed to one late @entity204 at 6 months of age. The overall survival rate was 85%, and the mean follow-up period was 5 years (range, 2 months to 16 years). Twelve of 17 surviving @entity1 (70%) have had an excellent functional and cosmetic outcome. Four @entity1 have varying degrees of @entity245 and @entity1032 . @entity519 at birth was believed to have contributed to these problems in two cases.(ABSTRACT TRUNCATED AT 250 WORDS)
