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- Title
Fetoscopic laryngotracheoscopy: novel diagnostic modality to avoid unnecessary ex-utero intrapartum treatment (EXIT) in cases with suspected fetal airway compromise.
- Authors
Shamshirsaz, A. A.; Nassr, A. A.; Erfani, H.; Olutoye, O. A.; Espinoza, J.; Olutoye, O. O.; Belfort, M. A.; Shamshirsaz, Alireza A; Nassr, Ahmed A; Erfani, Hadi; Olutoye, Olutoyin A; Espinoza, Jimmy; Olutoye, Oluyinka O; Belfort, Michael A
- Abstract
Ex-utero intra-partum treatment (EXIT) is an effective intra-partum fetal procedure that was developed to reduce mortality and morbidity at the time of delivery, which involves neonatal tracheal intubation while fetal oxygenation is maintained by the uteroplacental circulation in a partial fetal delivery under maternal general anesthesia. We describe the use of a novel antepartum fetoscopic laryngo-tracheoscopic procedure prior the delivery to avoid complications associated with an unnecessary EXIT procedure in a case where the fetus had a large neck mass (hemangioma) compressing the trachea.
- Subjects
TRACHEA intubation; GENERAL anesthesia; MODAL logic; TRACHEA; CESAREAN section; FETOSCOPY; HEMANGIOMAS; LARYNGOSCOPY; MAGNETIC resonance imaging; RESPIRATORY obstructions; TREATMENT effectiveness; POLYHYDRAMNIOS; DISEASE complications
- Publication
Ultrasound in Obstetrics & Gynecology, 2019, Vol 53, Issue 3, p421
- ISSN
0960-7692
- Publication type
case study
- DOI
10.1002/uog.19033