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Journal of Perinatal Medicine

Official Journal of the World Association of Perinatal Medicine

Editor-in-Chief: Dudenhausen, Joachim W.

Editorial Board Member: / Bancalari, Eduardo / Milner, Anne / Genc, Mehmet R. / Chervenak, Frank A. / Chappelle, Joseph / Bergmann, Renate L. / Bernardes, J.F. / Bevilacqua, G. / Blickstein, Isaac / Cabero Roura, Luis / Carbonell-Estrany, Xavier / Carrera, Jose M. / D`Addario, Vincenzo / D'Alton, MD, Mary E. / Dimitrou, G. / Grunebaum, Amos / Hentschel, Roland / Köpcke, W. / Kawabata, Ichiro / Keirse, Marc J.N.C. / Kurjak M.D., Asim / Lee, Ben H. / Levene, Malcolm / Lockwood, Charles J. / Marsal, Karel / Makatsariya, Alexander / Nishida, Hiroshi / Ogata, Edward / Papp, Zoltán / Pejaver, Ranjan Kumar / Pooh, Ritsuko K. / Romero, Roberto / Saugstad, Ola D. / Schenker, Joseph G. / Sen, Cihat / Seri, Istvan / Vetter, Klaus / Winn, Hung N. / Young, Bruce K. / Zimmermann, Roland

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The exit procedure (ex-utero intrapartum treatment): management of giant fetal cervical teratoma

Félix Castillo
  • 1Department of Neonatology, Hospital Universitario Vall d′Hebrón, Barcelona, Spain
/ José L. Peiró
  • 2Department of Pediatric Surgery, Hospital Universitario Vall d′Hebrón, Barcelona, Spain
/ Elena Carreras
  • 3Department of Obstetrics, Hospital Universitario Vall d′Hebrón, Barcelona, Spain
/ César Ruiz
  • 4Department of Neonatology, Hospital Universitario Vall d′Hebrón, Barcelona, Spain
/ Angels Linde
  • 5Department of Neonatology, Hospital Universitario Vall d′Hebrón, Barcelona, Spain
/ Carmen Ribes
  • 6Department of Neonatology, Hospital Universitario Vall d′Hebrón, Barcelona, Spain
/ Anna Creus
  • 7Department of Neonatology, Hospital Universitario Vall d′Hebrón, Barcelona, Spain
Published Online: 2007-12-05 | DOI: https://doi.org/10.1515/JPM.2007.120


The prognosis of giant cervical teratomas is determined by the severity of the associated airway obstruction. Ex-utero intrapartum treatment (EXIT) is a technique to establish a patent airway before completion of birth, while the infant remains on placental support. We present two cases of newborns with cervical teratomas treated with the EXIT procedure. In the first, this technique allowed a tracheotomy to be performed, and in the second, correction of tracheal displacement and subsequent nasotracheal intubation was achieved.

Keywords: Airway management; ex-utero intrapartum treatment procedure; neck mass; placental support

Corresponding author: Dr. Félix Castillo, MD Department of Neonatology Hospital Universitario Vall d'Hebrón Barcelona Spain Tel.: +34-934893127

Received: 2007-06-23

Revised: 2007-07-18

Accepted: 2007-09-04

Published Online: 2007-12-05

Published in Print: 2007-12-01

Citation Information: Journal of Perinatal Medicine. Volume 35, Issue 6, Pages 553–555, ISSN (Online) 16193997, ISSN (Print) 03005577, DOI: https://doi.org/10.1515/JPM.2007.120, December 2007

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