Basic information
A 7-year-old male child, weighing 24 kg, presented with a painful swelling on the left side of the face that increased rapidly in size 5 years ago. Results of the previously performed biopsy at Xiangya Hospital revealed a confirmed YST diagnosis. The patient then underwent six cycles of cisplatin, etoposide, and bleomycin (PEB) chemotherapy. However, the facial swelling recurred after 3 years. The pathological analysis was repeated (Figure 1), which revealed the same results as before. Subsequently, four cycles of PEB/etoposide, ifosfamide, and cisplatin chemotherapy were administered. Unfortunately, the facial swelling reappeared after 4 months, and PEB chemotherapy and radiotherapy were started. However, the size of the lesion did not decrease (Figure 2). Hence, extended resection of the facial mass under general anesthesia was planned.
Preoperative biochemical examination results, chest radiograph, and electrocardiogram of the patient showed no apparent abnormalities. Abdominal ultrasound examination for any abdominal mass or lymph nodes showed normal findings. Preoperative evaluation of the patient revealed restricted mouth opening (Mallampati classification IV), limited receding of the head, and a short neck.