Obstet Gynecol Sci.  2018 May;61(3):417-420. 10.5468/ogs.2018.61.3.417.

Ex utero intrapartum treatment procedure in two fetuses with airway obstruction

Affiliations
  • 1Department of Obstetrics and Gynecology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea. poptwinkle@hanmail.net
  • 2Division of Neonatology, Department of Pediatrics, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea.
  • 3Department of Anaesthesiology and Pain Medicine, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea.
  • 4Department of Otolaryngology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea.

Abstract

The ex utero intrapartum treatment (EXIT) procedure was introduced to reduce fetal hypoxic damage while establishing an airway in fetuses with upper and lower airway obstruction. Delivery of the fetal head and shoulders while maintaining the uteroplacental circulation offers time to secure the fetal airway. Here, we report two cases of EXIT procedure for fetal airway obstruction, which were successfully managed with extensive preoperative planning by a professional multidisciplinary team.

Keyword

Fetal therapy; Laryngeal diseases; Lymphangioma; Prenatal diagnosis

MeSH Terms

Airway Obstruction*
Fetal Therapies
Fetus*
Head
Laryngeal Diseases
Lymphangioma
Placental Circulation
Prenatal Diagnosis
Shoulder
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