AI Article Synopsis
- EXIT (Ex utero intrapartum treatment) is a delivery method used for babies with compromised airways, particularly in cases of airway-occluding teratomas.
- A retrospective study examined 11 children delivered via EXIT between 2001 and 2018, focusing on outcomes like survival and need for tracheostomy.
- The study found an 82% survival rate, with associated issues like polyhydramnios and preterm delivery being common, and noted that nearly one-third of survivors required a tracheostomy at discharge.
Article Abstract
Background: Ex utero intrapartum treatment (EXIT) is utilized for safe delivery when a baby has a compromised airway. The purpose of this retrospective study was to examine the indications and outcomes of 11 children presenting with airway occluding oropharyngeal and cervical teratomas.
Methods: Study of all children with an airway occluding teratoma delivered via EXIT (2001-2018) in our unit. Primary outcomes included survival and tracheostomy at discharge. Data are reported using descriptive statistics as median (range) and rate (%).
Results: We performed 45 EXIT procedure performed between January 2001 and April 2018. Of these, eleven were for cervical and/or upper airway teratoma. Ten (91%) cases had associated polyhydramnios, two (18%) developed nonimmune hydrops, and eight (72%) delivered preterm. Six (45.5%) were performed as an emergency. Estimated blood loss was 1000 ml (500, 1000). The neonatal mortality rate was 18% (2/11) and 33% (3/9) of the survivors were discharged with a tracheostomy.
Conclusion: EXIT is a reasonable option for delivery of babies with an occlusive upper airway mass. Neonatal survival depends on individualized factors but may be as high as 82% in those with teratoma.
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| http://dx.doi.org/10.1002/pd.5894 | DOI Listing |
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