Evidence map›Paper›PMID 41296036›Full record

ArticlePediatric radiology2026

Fetal and postnatal magnetic resonance imaging in the assessment of patients with extensive cervicofacial lymphatic malformations.

Riikka Schultz, Teija Kalajoki-Helmiö, Kristiina Kyrklund, Johanna Pekkola, Johanna Aronniemi

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Article in Pediatric radiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

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5 authors.

Riikka SchultzDepartment or Radiology, University of Helsinki and Helsinki University Hospital, New Children's Hospital, VASCERN VASCA European Reference Center, Helsinki, Finland, Stenbäckinkatu 9, 00290. riikka.schultz@hus.fi.
Teija Kalajoki-HelmiöDepartment or Radiology, University of Helsinki and Helsinki University Hospital, New Children's Hospital, VASCERN VASCA European Reference Center, Helsinki, Finland, Stenbäckinkatu 9, 00290.
Kristiina KyrklundDepartment of Pediatric Surgery, University of Helsinki and Helsinki University Hospital, New Children's Hospital, VASCERN VASCA European Reference Center, Helsinki, Finland.
Johanna PekkolaDepartment of Radiology, Turku University Hospital and University of Turku, Turku, Finland.
Johanna AronniemiDepartment or Radiology, University of Helsinki and Helsinki University Hospital, New Children's Hospital, VASCERN VASCA European Reference Center, Helsinki, Finland, Stenbäckinkatu 9, 00290.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundExtensive cervicofacial lymphatic malformations can compromise the neonatal airway. Fetal magnetic resonance imaging (MRI) is useful in airway assessment but it is not known how well the fetal MRI findings correspond to postnatal MRI.

objectiveTo describe and compare fetal and postnatal MRI findings of patients who required tracheostomy in the neonatal period due to large cervicofacial lymphatic malformations. To examine the usefulness of the tracheoesophageal displacement index (TEDI) in cervicofacial lymphatic malformation patients. MATERIALS AND

methodsA single-institution, retrospective case series of patients who had been tracheostomized due to cervicofacial lymphatic malformations and had undergone at least one fetal MRI between 2007-2024. The anatomical areas involved and airway effects in fetal and postnatal MRIs were assessed. The TEDI was measured for 40 fetuses imaged for reasons other than a cervical or upper thoracic mass for comparison.

resultsA total of six fetuses were identified. Marked retropharyngeal extension was present in 5/6 cases. Third-trimester fetal MRI corresponded well with postnatal MRI findings. Patients with prenatal intralesional hemorrhage continued to have postnatal intralesional bleeding. TEDI values became abnormally elevated (>12) in the third trimester in fetuses with a tracheostomy requirement postnatally.

conclusionFetal MRI is a valuable tool for anticipating neonatal airway obstruction in cervicofacial lymphatic malformations. Retropharyngeal extension of the malformation and a TEDI >12 in fetal MRI should alert to the possibility of significant airway compromise postnatally.

Indexed as

Lymphatic AbnormalitiesMagnetic Resonance ImagingPrenatal DiagnosisFemaleHumansInfant, NewbornMaleNeckPregnancyRetrospective StudiesTracheostomyAirway obstructionFetal imagingLymphatic malformationMagnetic resonance imagingPrenatal diagnosisTracheostomy

Identifiers

PMID41296036

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