title: Ultrasonographic guidance for location of the trachea during the EXIT procedure for cervical teratoma.
abstract: Cervical teratomas are rare tumors of infancy that are associated with a high mortality rate caused by compression and distortion of the infant's airway. Recent attempts at managing the fetal airway before delivery have focused on the EXIT (ex-utero intrapartum treatment) procedure, in which time to secure an airway is provided while preserving uteroplacental gas exchange. The authors report the use of intraoperative ultrasound guidance during an EXIT procedure for an infant with massive cervical teratoma to aid in identification of the trachea.
authors.affiliation: Department of Anesthesia, Children's Hospital, Harvard Medical School, Boston, Massachusetts 02115-5737, USA.
authors.forename: Laura B
authors.initials: LB
authors.lastname: Myers
authors.forename: Linda A
authors.initials: LA
authors.lastname: Bulich
authors.forename: Arielle
authors.initials: A
authors.lastname: Mizrahi
authors.forename: Carol
authors.initials: C
authors.lastname: Barnewolt
authors.forename: Judith
authors.initials: J
authors.lastname: Estroff
authors.forename: Carol
authors.initials: C
authors.lastname: Benson
authors.forename: Heung Bae
authors.initials: HB
authors.lastname: Kim
authors.forename: Russell
authors.initials: R
authors.lastname: Jennings
mesh_terms: D000402:Airway Obstruction / Q000209:etiology / Q000517:prevention & control*; D002585:Cesarean Section; D005260:Female; D006258:Head and Neck Neoplasms / Q000150:complications / Q000000981:diagnostic imaging / Q000196:embryology / Q000601:surgery*; D006801:Humans; D010920:Placenta / Q000502:physiology; D013724:Teratoma / Q000150:complications / Q000196:embryology / Q000601:surgery*; D014132:Trachea / Q000000981:diagnostic imaging*; D018084:Ultrasonography, Interventional; D016216:Ultrasonography, Prenatal