EN
TÜRKÇE
Oral Presentation - 5
Fetal Airway Assessment
MM Urquizo Lino, J Camacho
Department of Pediatric Surgery, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina
INTRODUCTION:
Fetuses with tumors of the head and neck require prenatal US, fetal MRI and Fetal Airway Assessment (FAS). To understand the extent of the lesion, the alteration of fetal airway and the adequate selection of patients for EXIT procedure is necessary a multidisciplinary team work.
AIM:
Describe multidisciplinary management and endoscopic evaluation of the airway in fetuses with head and neck tumors and patients with CDH
MATERIAL AND METHODS:
Report 34 FAS of fetuses with head and neck tumors and CDH with the same pediatric airway team
RESUlTS:
14 Fetus with a giant cystic cervical tumor that occluded the larynx and trachea. Require EXIT procedure, FAS and retrograde fetal intubation.
2 Fetus with Congenital High Airway Obstruction Syndrome. Require EXIT procedure, FAS and tracheostomy on site.
1 Fetus with Giant Congenital lung malformation in the left side and bronchogenic cyst on the right. both displace the airway "S'' form. require Exit procedure, FAS and subsequent lung resection.
6 Fetuses with Cervical Teratoma. Require EXIT procedure, FAS and tracheostomy on EXIT. In the subsequent days the resection of the tumor was made. One of the patients died by accidental decannulation
1 Fetus with Epignathus. Require EXIT procedure, FAS and resection of the tumor.
1 Fetus with Incomplete Congenital High Airway Obstruction Syndrome. Require EXIT procedure, FAS. The diagnosis was a congenital subglottic stenosis and a tracheostomy was made on EXIT.
9 Fetuses with CDH required FETO, we performed 18 fetal tracheoscopies between 29 to 32 weeks of gestation. We were able to improve lung development and increase survival rates.
CONCLUSION:
A multidisciplinary approach allows simulation scenarios, surgical planning with 3D reconstruction model optimizing the EXIT procedure.
The FAS by the same pediatric airway team allowed a potentially reducing morbidity and mortality in this patients group.