[Therapy for prenatally diagnosed XXXX --multimodal procedure and interdisciplinary challenge].

@entity1 @entity3609 @entity600 @entity2696 @entity2008 @entity17461
INTRODUCTION: Ultrasound diagnostics enable the prenatal diagnosis of extensive @entity600 . The diagnosis is made prenatally or directly after birth in 50-60% of the cases, in about 80% of the afflicted in the first year of life and up to 90% of the cases in the second year of life. PRENATAL DIAGNOSTICS AND POSSIBILITIES OF PRE- AND PERINATAL INTERVENTIONS: The so called @entity3609 is a primary symptom, which is detected during the routine ultrasound examination. @entity600 , which are diagnosed antenatally are often associated with @entity2008 . The EXIT procedure allows invasive therapeutic or diagnostic interventions. Hereby the airway safety of Newborns with extended cervical or zerviko-facial @entity2696 can be warranted. The survival chance and the prognosis may be significantly improved. MANIFESTATION AND ENT-CLINICS: 72 @entity1 (mean age 12.3 yrs) with @entity600 of the Head and Neck presented for the first time during a 5-years period until 31.12.2008 at the Department of Otolaryngology of the University of Marburg. Therapeutic interventions consisted in conventional surgery, laser assisted therapy, sclerosing therapy or a combined therapeutic approach. CONCLUSION: @entity17461 of the Head and Neck challenge treating physicians and affected families. Advancements of prenatal diagnostics and opportunities of peri- and postnatal interventions contribute to an improved survival chance and prognosis. Intensive interdisciplinary cooperation in specialised centers is of outstanding importance for an optimal care of these @entity1 .
