Hostname: page-component-cd9895bd7-p9bg8 Total loading time: 0 Render date: 2024-12-27T21:20:01.908Z Has data issue: false hasContentIssue false

Prenatal sonographic diagnosis of upper airway obstruction: a challenge that can be achieved

Published online by Cambridge University Press:  29 June 2007

Noga Golan-Porat
Affiliation:
Department of Obstetrics and Gynecology, The Chaim Sheba Medical Center, Tel Hashomer, Sackler School of Medicine, Tel Aviv University, Israel
Shlomo Lipitz
Affiliation:
Department of Obstetrics and Gynecology, The Chaim Sheba Medical Center, Tel Hashomer, Sackler School of Medicine, Tel Aviv University, Israel
Moshe Porat
Affiliation:
The Maccabi Otolaryngology Clinic, Rishon Lezion, Israel.
Reuwen Achiron*
Affiliation:
Department of Obstetrics and Gynecology, The Chaim Sheba Medical Center, Tel Hashomer, Sackler School of Medicine, Tel Aviv University, Israel
*
Address for correspondence: R. Achiron, M.D., Department of Obstetrics and Gynecology, The Chaim Sheba Medical Center, Tel Hashomer, 52621, Israel. Fax: 972-3-5352081

Abstract

Congenital upper airway obstruction presents a life-threatening situation when encountered in the delivery room. We present a case in which in utero diagnosis of this malformation was suspected, but unfortunately the neonate did not survive due to the inability to provide adequate ventilation. The prenatal sonographic features of this rare malformation are outlined, and the literature reviewed.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 1996

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Arizawa, M., Imai, S., Suehara, N., Nakayama, M. (1989) Prenatal diagnosis of laryngeal atresia (Translation). Ada Obstetrics and Gynecology (Japan) 41: 907910.Google Scholar
Choong, K. K. L., Trudinger, B., Chow, G., Osborn, R. A. (1992) Foetal laryngeal obstruction: sonographic detection. Ultrasound in Obstetrics and Gynaecology 2: 357359.CrossRefGoogle ScholarPubMed
Cotton, R. T., Richardson, M. A. (1981) Congenital laryngeal anomalies. Otolaryngologic Clinics of North America 14: 203218.CrossRefGoogle ScholarPubMed
de Hullu, J. A., Kornman, L. H., Beekhuis, J. R., Nikkels, P. G. J. (1995) The hyperechogenic lungs of laryngotracheal obstruction. Ultrasound in Obstetrics and Gynaecology 5: 271274.CrossRefGoogle ScholarPubMed
Dolkart, L. A., Reimers, F. T., Wertheimer, D. O., Wilson, B. O. (1992) Prenatal diagnosis of laryngeal atresia. Journal of Ultrasound in Medicine 11: 496498.CrossRefGoogle ScholarPubMed
Fox, H. E., Badalian, S. S., Timor-Tritsch, I. E., Marks, F., Stolar, C. J. H. (1993) Foetal upper respiratory tract function in cases of antenatally diagnosed congenital diaphragmatic hernia: preliminary observations. Ultrasound in Obstetrics and Gynaecology 3: 164167.CrossRefGoogle ScholarPubMed
Furness, M. F., Donnelly, B. W., Lipsett, J. (1991) Larynx atresia. Fetus 1: 14.Google Scholar
Holinger, P. H., Kutnick, S. L., Schild, J. A., Hollinger, L. D. (1976) Subglottic stenosis in infants and children. Annals of Otology, Rhinology and Laryngology 85: 591599.CrossRefGoogle ScholarPubMed
Isaacson, G., Birnholz, J. C. (1991) Human fetal upper respiratory tract function as revealed by ultrasonography. Annals of Otology, Rhinology and Laryngology 100: 743747.CrossRefGoogle ScholarPubMed
Meagher, S. E., Fisk, N. M., Harvey, J. G., Watson, G. F., Boogert, A. (1993) Disappearing lung echogenicity in foetal bronchopulmonary manifestations: a reassuring? Prenatal Diagnosis 13: 495501.CrossRefGoogle Scholar
Moerman, P., de Zegher, F., Vandenberghe, K., De Vlieger, H., Petit, P., Lauweryns, J. M., Fryns, J. P. (1992) Laryngeal atresia as part of the diGeorge developmental field defect. Genetic Counselling 3: 133137.Google ScholarPubMed
Richards, D. S., Yancey, M. K., Duff, M., Stieg, F. H. (1992) The perinatal management of several laryngeal stenosis. Obstetrics and Gynecology 80: 537540.Google ScholarPubMed
Richards, D. S., Farah, L. A. (1994) Sonographic visualization of the foetal upper airway. Ultrasound in Obstetrics and Gynaecology 4; 2123.CrossRefGoogle ScholarPubMed
Schauer, G. M., Dunn, L. K., Godmilow, L., Eagle, R. C., Knisely, A. S. (1990) Prenatal diagnosis of Frazer syndrome at 18.5 weeks gestation, with autopsy findings at 19 weeks. American Journal of Medical Genetics 37: 583591.CrossRefGoogle Scholar
Watson, W. J., Thorp, J. M., Miller, R. C., Chescheir, N. C., Katz, V. L., Seeds, J. W. (1990) Prenatal diagnosis of laryngeal atresia. American Journal of Obstetrics and Gynecology 163: 14561457.CrossRefGoogle ScholarPubMed
Weston, M. J., Porter, H. J., Berry, P. J., Andrews, H. S. (1992) Ultrasonographic prenatal diagnosis of upper respiratory tract atresia. Journal of Ultrasound in Medicine 11: 673675.CrossRefGoogle ScholarPubMed