Fetal MRI assessment of head & neck vascular malformation in predicting outcome of EXIT-to-airway procedure
Objectives: The objective of this clinical case report is to highlight the MRI features and staging system which may guide clinicians in determining further management. Case presentation: Three different cases with fetal head and neck vascular malformation diagnosed during prenatal screening were pr...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
De Gruyter Open
2021
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| Online Access: | http://psasir.upm.edu.my/id/eprint/97327/ http://psasir.upm.edu.my/id/eprint/97327/1/ABSTRACT.pdf |
| _version_ | 1848862572741132288 |
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| author | Huddin, Azzam Baseri Abu Hassan, Hasyma Mohd Jamil, Amilia Afzan Mohd Nor, Khadijah Velayudham, Vairavan @ Ramesh |
| author_facet | Huddin, Azzam Baseri Abu Hassan, Hasyma Mohd Jamil, Amilia Afzan Mohd Nor, Khadijah Velayudham, Vairavan @ Ramesh |
| author_sort | Huddin, Azzam Baseri |
| building | UPM Institutional Repository |
| collection | Online Access |
| description | Objectives: The objective of this clinical case report is to highlight the MRI features and staging system which may guide clinicians in determining further management. Case presentation: Three different cases with fetal head and neck vascular malformation diagnosed during prenatal screening were presented. MRI demonstrates large cystic neck masses which may compromise fetal airway during delivery. Thus, this required multidisciplinary team management among obstetricians, otolaryngologists, pediatricians, anesthesiologists, and radiologists. A decision for complex birth delivery through the cesarean section aided with EXIT-to-airway procedure was made. Each of these procedures demonstrates the different challenges and outcomes of the neonates which correlated with the characterization and staging based on prenatal MRI. Conclusions: EXIT-to-airway procedure in head and neck malformation may be beneficial in transiting complicated and potentially catastrophic delivery situations to a more controlled environment. However, it also needs to align with prenatal MRI evaluation, which provides a more objective assessment guide for the clinicians. |
| first_indexed | 2025-11-15T13:19:10Z |
| format | Article |
| id | upm-97327 |
| institution | Universiti Putra Malaysia |
| institution_category | Local University |
| language | English |
| last_indexed | 2025-11-15T13:19:10Z |
| publishDate | 2021 |
| publisher | De Gruyter Open |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | upm-973272022-09-06T08:43:00Z http://psasir.upm.edu.my/id/eprint/97327/ Fetal MRI assessment of head & neck vascular malformation in predicting outcome of EXIT-to-airway procedure Huddin, Azzam Baseri Abu Hassan, Hasyma Mohd Jamil, Amilia Afzan Mohd Nor, Khadijah Velayudham, Vairavan @ Ramesh Objectives: The objective of this clinical case report is to highlight the MRI features and staging system which may guide clinicians in determining further management. Case presentation: Three different cases with fetal head and neck vascular malformation diagnosed during prenatal screening were presented. MRI demonstrates large cystic neck masses which may compromise fetal airway during delivery. Thus, this required multidisciplinary team management among obstetricians, otolaryngologists, pediatricians, anesthesiologists, and radiologists. A decision for complex birth delivery through the cesarean section aided with EXIT-to-airway procedure was made. Each of these procedures demonstrates the different challenges and outcomes of the neonates which correlated with the characterization and staging based on prenatal MRI. Conclusions: EXIT-to-airway procedure in head and neck malformation may be beneficial in transiting complicated and potentially catastrophic delivery situations to a more controlled environment. However, it also needs to align with prenatal MRI evaluation, which provides a more objective assessment guide for the clinicians. De Gruyter Open 2021 Article PeerReviewed text en http://psasir.upm.edu.my/id/eprint/97327/1/ABSTRACT.pdf Huddin, Azzam Baseri and Abu Hassan, Hasyma and Mohd Jamil, Amilia Afzan and Mohd Nor, Khadijah and Velayudham, Vairavan @ Ramesh (2021) Fetal MRI assessment of head & neck vascular malformation in predicting outcome of EXIT-to-airway procedure. Case Reports in Perinatal Medicine, 10 (1). pp. 1-5. ISSN 2192-8932; ESSN: 2192-8959 https://www.degruyter.com/document/doi/10.1515/crpm-2020-0063/html?lang=en 10.1515/crpm-2020-0063 |
| spellingShingle | Huddin, Azzam Baseri Abu Hassan, Hasyma Mohd Jamil, Amilia Afzan Mohd Nor, Khadijah Velayudham, Vairavan @ Ramesh Fetal MRI assessment of head & neck vascular malformation in predicting outcome of EXIT-to-airway procedure |
| title | Fetal MRI assessment of head & neck vascular malformation in predicting outcome of EXIT-to-airway procedure |
| title_full | Fetal MRI assessment of head & neck vascular malformation in predicting outcome of EXIT-to-airway procedure |
| title_fullStr | Fetal MRI assessment of head & neck vascular malformation in predicting outcome of EXIT-to-airway procedure |
| title_full_unstemmed | Fetal MRI assessment of head & neck vascular malformation in predicting outcome of EXIT-to-airway procedure |
| title_short | Fetal MRI assessment of head & neck vascular malformation in predicting outcome of EXIT-to-airway procedure |
| title_sort | fetal mri assessment of head & neck vascular malformation in predicting outcome of exit-to-airway procedure |
| url | http://psasir.upm.edu.my/id/eprint/97327/ http://psasir.upm.edu.my/id/eprint/97327/ http://psasir.upm.edu.my/id/eprint/97327/ http://psasir.upm.edu.my/id/eprint/97327/1/ABSTRACT.pdf |