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Images in neonatal medicine
Encephalocele presenting as an oropharyngeal mass
  1. Yennie L I Pang1,
  2. Alice K Y Siu2,
  3. Pak C Ng1
  1. 1Department of Paediatrics, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong
  2. 2Department of Otolaryngology, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong
  1. Correspondence to Professor Pak C Ng, Department of Paediatrics, Prince of Wales Hospital, The Chinese University of Hong Kong, 6th Floor, Lui Che Woo Clinical Sciences Building, Shatin, N.T., Hong Kong; pakcheungng{at}cuhk.edu.hk

http://dx.doi.org/10.1136/archdischild-2014-307689

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    A female infant, born at 31-week gestation with birth weight 1.40 kg, required emergency intubation at birth for respiratory distress syndrome. Generalised convulsion was noted 30 min after delivery. Re-intubation on day 6 revealed a mass in the posterior oropharynx (figure 1). Direct laryngoscopy and rhinoscopy found a lesion measuring 15×20 mm between the right medial and inferior nasal turbinate (figure 2) extending to the posterior oropharynx. MRI confirmed …

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    Footnotes

    • Contributors YLIP wrote the manuscript and obtained parents’ consent. AKYS provided the images. PCN revised the article and finally approved the version to be published.

    • Funding Department of Paediatrics, The Chinese University of Hong Kong.

    • Competing interests None.

    • Parents’ consent obtained.

    • Provenance and peer review Not commissioned; internally peer reviewed.