The role of the surgeon in the case of a giant neck mass in the EXIT procedure

Ernesto Leva, Luigi Pansini, Giorgio Fava, Luciano Maestri, Andrea Pansini, Georgio Selvaggio

Research output: Contribution to journalArticlepeer-review

Abstract

Large fetal neck masses can present a major challenge to securing an airway at birth, with associated risks of hypoxia, brain injury, and death. The authors report a case of a giant neck mass, diagnosed in a fetus of 28 weeks, treated through ex utero intrapartum treatment procedure to assist in securing an airway followed by excision of the mass on the day after delivery. A multidisciplinary team approach, combined with an accurate prenatal diagnosis obtained through fetal ultrasound magnetic resonance imaging examination, was the key to a successful outcome. The role of the pediatric surgeon was initially to secure the airways through a tracheostomy followed by excision of the mass when the infant's vital parameters had been stabilized.

Original languageEnglish
Pages (from-to)748-750
Number of pages3
JournalJournal of Pediatric Surgery
Volume40
Issue number4
DOIs
Publication statusPublished - Apr 2005

Keywords

  • Airway obstruction
  • Cystic lymphangioma
  • Intrapartum treatment
  • Neonatal neck masses
  • Placental support
  • Teratoma

ASJC Scopus subject areas

  • Surgery

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