International Pediatric Otolaryngology Group (IPOG): Consensus recommendations on the prenatal and perinatal management of anticipated airway obstruction

被引:22
作者
Puricelli, Michael D. [1 ]
Rahbar, Reza [2 ]
Allen, Gregory C. [3 ]
Balakrishnan, Karthik [18 ]
Brigger, Matthew T. [4 ]
Daniel, Sam J. [5 ]
Fayoux, Pierre [6 ]
Goudy, Steven [7 ]
Hewitt, Richard [8 ]
Hsu, Wei-Chung [9 ,10 ]
Ida, Jonathan B. [11 ]
Johnson, Romaine [12 ]
Leboulanger, Nicolas [13 ]
Rickert, Scott M. [14 ]
Roy, Soham [15 ]
Russell, John [16 ]
Rutter, Michael [17 ]
Sidell, Douglas [18 ]
Soma, Marlene [19 ]
Thierry, Briac [13 ]
Trozzi, Marilena [20 ]
Zalzal, George [21 ]
Zdanski, Carlton J. [22 ]
Smith, Richard J. H. [1 ]
机构
[1] Univ Iowa Hosp & Clin, Dept Otolaryngol, Iowa City, IA 52242 USA
[2] Harvard Med Sch, Boston Childrens Hosp, Dept Otolaryngol, Boston, MA 02115 USA
[3] Univ Colorado, Dept Otolaryngol Head & Neck Surg, Sch Med, Aurora, CO USA
[4] Univ Calif San Diego, Rady Childrens Hosp San Diego, Div Pediat Otolaryngol, San Diego, CA 92103 USA
[5] McGill Univ, Dept Otolaryngol Head & Neck Surg, Montreal, PQ, Canada
[6] Univ Hosp Lille, Dept Pediat Otolaryngol Head Neck Surg, Lille, France
[7] Emory Univ, Sch Med, Dept Otolaryngol Head & Neck Surg, Atlanta, GA USA
[8] Great Ormond St Hosp Children NHS Fdn Trust, Dept Ear Nose & Throat Surg, London, England
[9] Natl Taiwan Univ, Coll Med, Dept Otolaryngol, Taipei, Taiwan
[10] Natl Taiwan Univ Hosp, Taipei, Taiwan
[11] Northwestern Univ, Ann & Robert H Lurie Childrens Hosp Chicago, Div Pediat Otolaryngol, Feinberg Sch Med, Chicago, IL 60611 USA
[12] UT Southwestern Med Ctr, Otolaryngol Head & Neck Surg, Dallas, TX USA
[13] Paris Univ, Necker Enfants Malad Hosp, Pediat Otolaryngol Head & Neck Surg, Paris, France
[14] NYU Langone, Dept Otolaryngol, New York, NY USA
[15] Univ Texas Houston, Dept Otorhinolaryngol, Houston, TX USA
[16] Childrens Hlth Ireland, Dept Paediat Otolaryngol, Crumlin, Ireland
[17] Cincinnati Childrens Hosp Med Ctr, Div Pediat Otolaryngol, FRACS, Cincinnati, OH 45229 USA
[18] Stanford Univ, Dept Otolaryngol Head & Neck Surg, Div Pediat Otolaryngol, Stanford, CA 94305 USA
[19] Sydney Childrens Hosp, Dept Otolaryngol, Randwick, NSW, Australia
[20] Bambino Gesu Pediat Hosp, Pediat Surg Dept, Airway Surg Unit, Rome, Italy
[21] Childrens Natl Hlth Syst, Dept Otolaryngol, Washington, DC USA
[22] Univ N Carolina, Div Pediat Otolaryngol Head & Neck Surg, Chapel Hill, NC 27515 USA
关键词
Micrognathia; Congenital high airway obstruction syndrome (CHAOS); Fetal head and neck mass; Attended delivery; Operation on placental support (OOPS); Ex utero intrapartum treatment (EXIT); Delivery on placental support; INTRAPARTUM-TREATMENT PROCEDURE; LONG-TERM OUTCOMES; SEVERE MICROGNATHIA; FETAL MICROGNATHIA; TREATMENT EXIT; DIAGNOSIS; NECK; ANOMALIES; FETUSES; RISK;
D O I
10.1016/j.ijporl.2020.110281
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
Objective: To make recommendations on the identification, routine evaluation, and management of fetuses at risk for airway compromise at delivery. Methods: Recommendations are based on expert opinion by members of the International Pediatric Otolaryngology Group (IPOG). A two-iterative Delphi method questionnaire was distributed to all members of the IPOG and responses recorded. The respondents were given the opportunity to comment on the content and format of the survey, which was modified for the second round. "Consensus" was defined by >80% respondent affirmative responses, "agreement" by 51-80% affirmative responses, and "no agreement" by 50% or less affirmative responses. Results: Recommendations are provided regarding etiologies of perinatal airway obstruction, imaging evaluation, adjunct evaluation, multidisciplinary team and decision factors, micrognathia management, congenital high airway obstruction syndrome management, head and neck mass management, attended delivery procedure, and delivery on placental support procedure. Conclusions: Thorough evaluation and thoughtful decision making are required to optimally balance fetal and maternal risks/benefits.
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页数:10
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