선천성 태아 구강 기형종에서의 분만 중 자궁외 치료 1예

Abstract

The ex utero intrapartum treatment (EXIT) is used for unborn fetuses in cases of predictable complications of postpartum airway obstruction. The delivered fetus is maintained on placental circulation while airway is established and this is carried out by a multidisciplinary team. Teratomas arising from the palate or pharynx may cause immediate life-threatening airway obstruction to the newborn. In our case, congenital oral teratoma was detected via prenatal ultrasound. The treating team determined that this may induce airway occlusion at birth and decided to perform an EXIT to secure an airway. On the day of birth, debulking of the tumor was performed and the fetus was successfully delivered. Vital signs were stable without intubation management.