Korean J Otorhinolaryngol-Head Neck Surg.
2008 Jul;51(7):681-685.
A Case of the EXIT (Ex Utero Intrapartum Treatment) Procedure in Congenital Fetal Cervical Immature Teratoma
- Affiliations
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- 1Department of Otolaryngology, School of Medicine, Ewha Womans University, Seoul, Korea. sevent@ewha.ac.kr
Abstract
- The exutero intrapartum treatment (EXIT) is an uncommon procedure indicated for fetal lesions with the potential to cause lifethreatening airway obstruction immediately after child delivery. Maintenance of the maternal-fetal circulation under the general anesthesia can allow time for the fetal airway to be secured before delivery. Cervical teratomas are rare congenital tumors derived from all three germ cell layers. The vast majority are histologically benign, but the significant size can potentiate life-threatening upper airway obstruction. We have recently experienced a case of the large fetal cervical teratoma diagnosed prenatally on ultrasonography and treated surgically using the EXIT procedure.