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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 / Greenough, 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

IMPACT FACTOR increased in 2015: 1.798
Rank 46 out of 120 in category Pediatrics in the 2015 Thomson Reuters Journal Citation Report/Science Edition

SCImago Journal Rank (SJR) 2014: 0.731
Source Normalized Impact per Paper (SNIP) 2014: 0.687
Impact per Publication (IPP) 2014: 1.483

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

Félix Castillo1 / José L. Peiró2 / Elena Carreras3 / César Ruiz4 / Angels Linde5 / Carmen Ribes6 / Anna Creus7

1Department of Neonatology, Hospital Universitario Vall d′Hebrón, Barcelona, Spain

2Department of Pediatric Surgery, Hospital Universitario Vall d′Hebrón, Barcelona, Spain

3Department of Obstetrics, Hospital Universitario Vall d′Hebrón, Barcelona, Spain

4Department of Neonatology, Hospital Universitario Vall d′Hebrón, Barcelona, Spain

5Department of Neonatology, Hospital Universitario Vall d′Hebrón, Barcelona, Spain

6Department of Neonatology, Hospital Universitario Vall d′Hebrón, Barcelona, Spain

7Department of Neonatology, Hospital Universitario Vall d′Hebrón, Barcelona, Spain

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

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

Publication History

Published Online:


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

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