Obstructive lesions of the fetal airway: A review of literature and the authors’ observations
- Authors: Mashinets N.V.1, Demidov V.N.1
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Affiliations:
- Research Center of Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia
- Issue: No 7 (2016)
- Pages: 93-98
- Section: Articles
- URL: https://journals.eco-vector.com/0300-9092/article/view/247743
- DOI: https://doi.org/10.18565/aig.2016.7.93-98
- ID: 247743
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Abstract
Objective. To reveal the main echographic signs of fetal airway obstructive lesions and to assess a postnatal outcome in a neonatal infant on the basis of this presented analysis of the data available in the literature and the authors’ two observations. Material and methods. Obstructive lesion of the upper airway was diagnosed in two fetuses at 19 weeks and 1 day and 20 weeks and 2 days and that of the lower airway was at 21 weeks and 6 days. The pregnancies were interrupted. Results. The major echographic sign of airway obstruction in a fetus is its significantly increased size and higher lung echogenicity. There is also a pathological evagination of the cupula of the diaphragm towards the abdomen, as well as ascites. The process is also bilateral in obstruction of the upper airway and unilateral in that of the lower airway. This pathology is noted to have a poor postnatal prognosis. Conclusion. Echography allows the intrauterine diagnosis of as rare and prognostically poor abnormality as fetal airway obstruction and the information obtained from the investigation may decide what further pregnancy management tactics should be applied in terms of subsequent neonatal prognosis.
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About the authors
Natalya Valerievna Mashinets
Research Center of Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia
Email: natashamashinets@yandex.ru
PhD, the senior scientific worker of the department of functional diagnostics department of diagnostic imaging
Vladimir Nikolaevich Demidov
Research Center of Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia
Email: v_demidov@oparina4.ru
MD, professor of the department of functional diagnostics department of diagnostic imaging
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