The exit procedure (ex-utero intrapartum treatment): management of giant fetal cervical teratoma.
The prognosis of giant cervical teratomas is determined by the severity of the associated airway obstruction. Ex-utero intrapartum treatment (EXIT) is a technique to establish a patent airway before completion of birth, while the infant remains on placental support. We present two cases of newborns with cervical teratomas treated with the EXIT procedure. In the first, this technique allowed a tracheotomy to be performed, and in the second, correction of tracheal displacement and subsequent nasotracheal intubation was achieved.
Department of Neonatology, Hospital Universitario Vall d'Hebrón, Barcelona, Spain. felixpapa@yahoo.com.es
Félix
F
Castillo
José L
JL
Peiró
Elena
E
Carreras
César
C
Ruiz
Angels
A
Linde
Carmen
C
Ribes
Anna
A
Creus
D000402:Airway Obstruction / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D002585:Cesarean Section; D046128:Fetal Therapies; D006258:Head and Neck Neoplasms / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D020883:Hysterotomy; D007231:Infant, Newborn; D007442:Intubation, Intratracheal; D008297:Male; D011296:Prenatal Diagnosis; D013724:Teratoma / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D014139:Tracheostomy; D016896:Treatment Outcome