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The Ex Utero Intrapartum Treatment (EXIT) Procedure for Fetal Head and Neck Masses
Authors:Debora Filipchuk  Lourdes Avdimiretz
Abstract:A congenital head or neck mass increases the risk of airway obstruction and imminent respiratory failure at birth. The ex utero intrapartum treatment (EXIT) procedure is an option to secure the infant's airway in some clinical situations when an antenatal diagnosis of a head or neck mass or potential airway obstruction has been established.This article discusses an EXIT procedure performed on a maternal patient whose 38-week gestational age fetus was diagnosed with a lymphatic malformation. Planning and coordination between surgical teams at two clinical sites allowed the multidisciplinary teams to achieve a safe, successful outcome for the mother and child. AORN J 90 (November 2009) 661-672. © AORN, Inc, 2009.
Keywords:ex utero intrapartum treatment   EXIT procedure   fetal airway obstruction   lymphatic malformation   placental support   pediatric airway emergencies   maternal complications
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