Ex-utero Intrapartum Treatment (EXIT) Procedure for Giant Fetal Epignathus.
BACKGROUND
Large fetal oropharyngeal tumors are rare, and have the potential to cause airway obstruction during birth.


METHODS
A 35-year-old woman with antenatally diagnosed large heterogenous mass in fetal neck displacing trachea and filling up the orophanygeal space.


METHODS
The infant was delivered at 31 weeks of gestation by ex-utero intrapartum therapy procedure to secure the airway.


RESULTS
Tumor was resected successfully on day 8 of life. Histopathology revealed mixed teratoma.


CONCLUSIONS
Ex-utero intrapartum therapy for fetuses with severe upper airway compromise may prove life-saving.
Departments of Neonatology and *Pathology AND Laboratory Medicine, Kandang Kerbau Women and Childrens Hospital, Singapore. Correspondence to: Dr Pooja Agarwal Jayagobi, Associate Consultant, Department of Neonatology, Kandang Kerbau WomenS and ChildrenSHospital, 100 Bukit Timah Road, Singapore 229899. Pooja.Agarwal@kkh.com.sg.
Pooja Agarwal
PA
Jayagobi
Suresh
S
Chandran
Bhavani
B
Sriram
Kenneth T E
KT
Chang
D000328:Adult; D000402:Airway Obstruction / Q000175:diagnosis / Q000601:surgery*; D002585:Cesarean Section / Q000379:methods*; D003299:Cooperative Behavior; D005260:Female; D005315:Fetal Diseases / Q000175:diagnosis / Q000601:surgery*; D005322:Premature Rupture of Fetal Membranes / Q000601:surgery; D006801:Humans; D033183:Interdisciplinary Communication; D009959:Oropharyngeal Neoplasms / Q000151:congenital / Q000175:diagnosis / Q000601:surgery*; D011247:Pregnancy; D011263:Pregnancy Trimester, Third; D011296:Prenatal Diagnosis; D013724:Teratoma / Q000151:congenital / Q000175:diagnosis / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D014062:Tongue Neoplasms / Q000151:congenital / Q000175:diagnosis / Q000601:surgery*; D014139:Tracheostomy / Q000379:methods; D016216:Ultrasonography, Prenatal