Use EXIT (ex-utero intrapartum treatment)procedure in the treatment of fetal neck mass

Abstract

Objective To discuss the role of EXIT(ex-utero intrapartum treatment) procedure in the treatment of fetal neck mass.Methods Form 2007,9 to 2010,2,4 fetus were selected,those diagnosed neck huge mass with polyhydramnios in prenatal period.After term pregnancy,they were delivered by EXIT procedure in Obstetrics & Gynecology Hospital and follow-up in our Children's hospital.All information of the neck mass,mass of air pressure on the circumstances,the preoperative on mechanical ventilation was recorded,and the effect and prognosis of these patients were evaluated.Results Boy: girl: 3:1.They all delivered by EXIT procedure after full term.Three cases depended on the mechanical ventilation before the operation.Enhance CT showed trachea obviously compressed and lapsed.The most serious patient was found the pharynx under pressure.Those 3 cases had operations in neonatal period.The other one case had no operation and follow-up in clinic department.Four cases were diagnosed as enterogenous cyst 1 case,lymphangioma 2 cases and pyriform sinus fistula 1 case.Conclusions EXIT procedure would provide a ventilation pathway for baby with reduced hypoxia.Fetal with neck mass delivered by EXIT procedure will get good prognosis,the treatment results will be satisfactory. Key words: Birth; Neck; Prognosis