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Clinical outcomes of ex utero intrapartum treatment for fetal airway obstruction.
- Source :
-
Pediatric surgery international [Pediatr Surg Int] 2019 Aug; Vol. 35 (8), pp. 835-843. Date of Electronic Publication: 2019 Jun 04. - Publication Year :
- 2019
-
Abstract
- Purpose: The aim of this study was to evaluate the indications and the clinical outcomes of the fetuses managed with ex utero intrapartum treatment (EXIT) procedures.<br />Methods: We retrospectively reviewed the medical records of all fetuses who underwent EXIT procedures between 2003 and 2018.<br />Results: EXIT procedures were performed in nine cases. The prenatal diagnosis of the neonates was congenital high airway obstruction syndrome in four cases, the neck masse in five cases. Although the airway management under the EXIT procedure was successful in eight cases, the airway management failed in one case. During the EXIT procedures, the airway was managed by endotracheal intubation in two cases, whereas six cases underwent tracheostomy. Six cases with fetal airway obstruction survived to discharge, whereas three cases died due to airway management failure or complications of the underlying disease. A case with a cervical teratoma underwent tumor resection the day after birth due to rapid enlargement of the neck mass. Long-term survival was achieved in five cases.<br />Conclusions: We concluded that the EXIT procedure was effective and could be performed safely in the airway management of fetuses with suspected airway obstruction. The treatment strategy for the neck masses should be planned before birth.
- Subjects :
- Airway Obstruction congenital
Airway Obstruction diagnosis
Female
Fetal Diseases diagnosis
Gestational Age
Humans
Infant, Newborn
Male
Pregnancy
Prenatal Diagnosis
Retrospective Studies
Uterus
Airway Obstruction surgery
Fetal Diseases surgery
Intubation, Intratracheal methods
Prenatal Care methods
Tracheostomy methods
Subjects
Details
- Language :
- English
- ISSN :
- 1437-9813
- Volume :
- 35
- Issue :
- 8
- Database :
- MEDLINE
- Journal :
- Pediatric surgery international
- Publication Type :
- Academic Journal
- Accession number :
- 31165248
- Full Text :
- https://doi.org/10.1007/s00383-019-04494-1