title: Management of the critical airway when an EXIT procedure is not an option: A case report.
abstract: Perinatal imaging facilitates detection of congenital head and neck masses to plan fetal procedures which secure the airway. Ex utero intrapartum therapy (EXIT) procedures are preferred to protect the neonatal airway. Herein we present a case in which a neonate with a large oropharyngeal lymphovascular malformation was delivered and the airway successfully managed without an EXIT procedure using a multidisciplinary approach. Preparations for the non-EXIT delivery and critical airway management are described.
authors.affiliation: Department of Otolaryngology, Massachusetts Eye and Ear Infirmary, Boston, MA, United States; Department of Otology and Laryngology, Harvard Medical School, Boston, MA, United States.
authors.forename: Gillian R
authors.initials: GR
authors.lastname: Diercks
authors.affiliation: Department of Otolaryngology, Massachusetts Eye and Ear Infirmary, Boston, MA, United States; Department of Otology and Laryngology, Harvard Medical School, Boston, MA, United States. Electronic address: christopher_hartnick@meei.harvard.edu.
authors.forename: Christopher J
authors.initials: CJ
authors.lastname: Hartnick
authors.affiliation: Department of Pediatrics, Massachusetts General Hospital, Boston, MA, United States; Department of Pediatrics, Harvard Medical School, Boston, MA, United States.
authors.forename: Sara V
authors.initials: SV
authors.lastname: Bates
mesh_terms: D058109:Airway Management / Q000379:methods; D000402:Airway Obstruction / Q000209:etiology / Q000628:therapy*; D036861:Delivery, Obstetric; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D044148:Lymphatic Abnormalities / Q000150:complications / Q000628:therapy*; D010348:Patient Care Team; D010608:Pharyngeal Diseases / Q000150:complications / Q000628:therapy*; D011296:Prenatal Diagnosis; D054079:Vascular Malformations / Q000150:complications / Q000628:therapy*
keywords: Airway; Congenital lymphovascular malformations; Ex utero intrapartum therapy