Ex Utero Intrapartum Treatment (EXIT) procedure: a perspective from the paediatric ORL team in Malaysia

Lim, Walter Yung Chwen and Mohamed Awang, Kamariah and Md Anuar, Noor Azrin and Idris, Anuar Idwan and Fader, Farhan and Yusof, Suhaimi and Johari, Ahmad Hafizuddin (2026) Ex Utero Intrapartum Treatment (EXIT) procedure: a perspective from the paediatric ORL team in Malaysia. Indian Journal of Otolaryngology and Head & Neck Surgery, 78 (-). pp. 2414-2417. ISSN 2231-3796 E-ISSN 0973-7707

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Abstract

Ex Utero Intrapartum Treatment (EXIT) is indicated for pregnant women when a prenatal ultrasound suggests the possibility of airway obstruction or cardiopulmonary abnormalities that require immediate management to secure the fetus’s airway while preserving uteroplacental circulation before complete delivery. Here, we present a case of a pregnant woman whose MRI revealed her fetus with a large left anterolateral solid-cystic cervical mass. She successfully underwent a cesarean section and an EXIT procedure for the fetus. The baby survived following timely intervention. The EXIT procedure is a surgical intervention that necessitates a multidisciplinary approach and careful consideration before making a final decision, taking into account the patient’s condition, the availability of facilities, and the presence of relevant specialists in a developing country such as Malaysia. Developing a clear algorithm for managing patients who need the EXIT procedure is essential to anticipate potential complications when the patient’s condition does not improve as expected.

Item Type:	Article (Journal)
Uncontrolled Keywords:	Ex utero intrapartum treatment, Multidisciplinary approach, Cervical mass, Prenatal ultrasound, Magnetic resonance imaging
Subjects:	R Medicine > RF Otorhinolaryngology
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button):	Kulliyyah of Medicine
Depositing User:	Dr Hafizuddin Johari
Date Deposited:	08 May 2026 16:55
Last Modified:	08 May 2026 16:55
Queue Number:	2026-04-Q3127
URI:	http://irep.iium.edu.my/id/eprint/127559

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