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

Gillian R Diercks1, Christopher J Hartnick1, Sara V Bates2

  • 1Department of Otolaryngology, Massachusetts Eye and Ear Infirmary, Boston, MA, United States; Department of Otology and Laryngology, Harvard Medical School, Boston, MA, United States.

International Journal of Pediatric Otorhinolaryngology
|October 3, 2015
PubMed

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:
AirwayCongenital lymphovascular malformationsEx utero intrapartum therapy

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