Management of the critical airway when an EXIT procedure is not an option: A case report

Int J Pediatr Otorhinolaryngol. 2015 Dec;79(12):2433-7. doi: 10.1016/j.ijporl.2015.08.044. Epub 2015 Sep 10.

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.

Keywords: Airway; Congenital lymphovascular malformations; Ex utero intrapartum therapy.

Publication types

  • Case Reports

MeSH terms

  • Airway Management / methods
  • Airway Obstruction / etiology
  • Airway Obstruction / therapy*
  • Delivery, Obstetric
  • Female
  • Humans
  • Infant, Newborn
  • Lymphatic Abnormalities / complications
  • Lymphatic Abnormalities / therapy*
  • Patient Care Team
  • Pharyngeal Diseases / complications
  • Pharyngeal Diseases / therapy*
  • Prenatal Diagnosis
  • Vascular Malformations / complications
  • Vascular Malformations / therapy*