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The EXIT (ex-utero intrapartum treatment) procedure - from the paediatric ENT perspective.
Acta Otorhinolaryngol Ital. 2018 Oct; 38(5):480-484.AO

Abstract

The main principle of the EXIT procedure is to maintain uteroplacental circulation with neonatal anaesthesia by controlled uterine hypotonia. This enables securing the foetal airways and decompress or resect large neck and mediastinal foetal masses. The authors present their experience with use of the EXIT procedure in 7 foetuses in whom evaluation and management of the airways were performed. In 4 patients, the neck mass was surgically removed in the neonatal period, in 1 the propranolol treatment was introduced. Two newborns died shortly after the EXIT procedure. The EXIT procedure allows the paediatric otolaryngologist to provide airway patency of newborns during delivery. Both ultrasound and MR imaging are crucial in the prenatal assessment of foetal head and neck masses. Their application in the evaluation of any foetal anomaly is essential for proper prognosis and treatment. Maternal monitoring for complications such as polyhydramnios and preterm labour are important in planning and desirability of the EXIT procedure.

Authors+Show Affiliations

Department of Paediatric Otolaryngology, Poznan University of Medical Sciences, Poland.Department of Paediatric Otolaryngology, Poznan University of Medical Sciences, Poland.Department of Paediatric Radiology, Poznan University of Medical Sciences, Poland.Department of Paediatric Otolaryngology, Poznan University of Medical Sciences, Poland.

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

29187760

Citation

Pucher, B, et al. "The EXIT (ex-utero Intrapartum Treatment) Procedure - From the Paediatric ENT Perspective." Acta Otorhinolaryngologica Italica : Organo Ufficiale Della Societa Italiana Di Otorinolaringologia E Chirurgia Cervico-facciale, vol. 38, no. 5, 2018, pp. 480-484.
Pucher B, Szydlowski J, Jonczyk-Potoczna K, et al. The EXIT (ex-utero intrapartum treatment) procedure - from the paediatric ENT perspective. Acta Otorhinolaryngol Ital. 2018;38(5):480-484.
Pucher, B., Szydlowski, J., Jonczyk-Potoczna, K., & Sroczynski, J. (2018). The EXIT (ex-utero intrapartum treatment) procedure - from the paediatric ENT perspective. Acta Otorhinolaryngologica Italica : Organo Ufficiale Della Societa Italiana Di Otorinolaringologia E Chirurgia Cervico-facciale, 38(5), 480-484. https://doi.org/10.14639/0392-100X-1261
Pucher B, et al. The EXIT (ex-utero Intrapartum Treatment) Procedure - From the Paediatric ENT Perspective. Acta Otorhinolaryngol Ital. 2018;38(5):480-484. PubMed PMID: 29187760.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The EXIT (ex-utero intrapartum treatment) procedure - from the paediatric ENT perspective. AU - Pucher,B, AU - Szydlowski,J, AU - Jonczyk-Potoczna,K, AU - Sroczynski,J, Y1 - 2017/11/30/ PY - 2016/05/30/received PY - 2017/03/21/accepted PY - 2017/12/1/pubmed PY - 2019/6/7/medline PY - 2017/12/1/entrez KW - EXIT procedure KW - Foetal airways KW - Foetal neck masses KW - Lymphatic malformation KW - Prenatal imaging KW - Teratoma SP - 480 EP - 484 JF - Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale JO - Acta Otorhinolaryngol Ital VL - 38 IS - 5 N2 - The main principle of the EXIT procedure is to maintain uteroplacental circulation with neonatal anaesthesia by controlled uterine hypotonia. This enables securing the foetal airways and decompress or resect large neck and mediastinal foetal masses. The authors present their experience with use of the EXIT procedure in 7 foetuses in whom evaluation and management of the airways were performed. In 4 patients, the neck mass was surgically removed in the neonatal period, in 1 the propranolol treatment was introduced. Two newborns died shortly after the EXIT procedure. The EXIT procedure allows the paediatric otolaryngologist to provide airway patency of newborns during delivery. Both ultrasound and MR imaging are crucial in the prenatal assessment of foetal head and neck masses. Their application in the evaluation of any foetal anomaly is essential for proper prognosis and treatment. Maternal monitoring for complications such as polyhydramnios and preterm labour are important in planning and desirability of the EXIT procedure. SN - 1827-675X UR - https://www.unboundmedicine.com/medline/citation/29187760/The_EXIT__ex_utero_intrapartum_treatment__procedure___from_the_paediatric_ENT_perspective_ L2 - https://doi.org/10.14639/0392-100X-1261 DB - PRIME DP - Unbound Medicine ER -