Prenatal diagnosis of obstructive head and neck masses and perinatal airway management: the ex utero intrapartum treatment procedure.

Abstract:

:Advances in prenatal imaging in the last 20 years have enabled prenatal diagnosis of obstructive head and neck masses. These advances, coupled with improvements in maternal-fetal anesthesia, have made possible the development of the ex utero intrapartum treatment (EXIT) procedure for management of obstructive head and neck masses, during which the airway is managed in a controlled fashion while maintaining fetal circulation for oxygenation. This review addresses the preoperative and perioperative assessment and management of patients with prenatally diagnosed airway obstruction, indications and contraindications for the EXIT procedure, technical details of the procedure, and outcomes.

authors

Walz PC,Schroeder JW Jr

doi

10.1016/j.otc.2014.09.013

subject

Has Abstract

pub_date

2015-02-01 00:00:00

pages

191-207

issue

1

eissn

0030-6665

issn

1557-8259

pii

S0030-6665(14)00133-9

journal_volume

48

pub_type

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