Academic Journal
In utero Fetal Intubation for a Large Neck Mass: A Minimally Invasive EXIT Option
| العنوان: | In utero Fetal Intubation for a Large Neck Mass: A Minimally Invasive EXIT Option |
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| المؤلفون: | Chmait, Ramen H., Chon, Andrew H., Anselmo, Dean, Vanderbilt, Douglas L., Townsend, Jae, Julian-Wang, Beth, Don, Debra |
| المصدر: | Fetal Diagnosis and Therapy ; volume 45, issue 4, page 275-280 ; ISSN 1015-3837 1421-9964 |
| بيانات النشر: | S. Karger AG |
| سنة النشر: | 2018 |
| الوصف: | Fetuses with obstructive neck and orofacial lesions have been delivered via an ex utero intrapartum treatment (EXIT) procedure to facilitate securement of the airway while on placental circulation. Pregnancy-related cardiovascular changes and technical issues unique to an EXIT procedure increase fetal and maternal risks relative to a standard cesarean section. In order to circumvent such issues, fetal endoscopic intubation has been proposed. We report a case of a fetus with a large neck mass (mixed solid and multiloculated cystic lesion measuring 9.2 × 5.3 × 8.5 cm, neck hyperextension, protruding tongue, and serial gagging movements) that was successfully intubated in utero and delivered at 36 weeks and 0 days via standard cesarean section, thereby avoiding an EXIT procedure. The risks, benefits, and technical issues of in utero tracheal intubation are reviewed. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| DOI: | 10.1159/000487394 |
| الاتاحة: | http://dx.doi.org/10.1159/000487394 https://www.karger.com/Article/Pdf/487394 |
| Rights: | https://www.karger.com/Services/SiteLicenses ; https://www.karger.com/Services/SiteLicenses |
| رقم الانضمام: | edsbas.83D0890A |
| قاعدة البيانات: | BASE |
| DOI: | 10.1159/000487394 |
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