The outcome after perinatal management of infants with potential airway obstruction

Eyal Raveh*, Blake C. Papsin, Dan Farine, Edmond N. Kelly, Vito Forte

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review


Masses in the head and neck are being detected prenatally with increasing frequency, necessitating the need for management of potential upper airway obstruction at delivery. Establishment of the airway at delivery and its maintenance thereafter are critical. This should optimally be performed with the baby still attached to the placental circulation. The importance of multidisciplinary team management, including a high risk obstetrician, neonatologist, pediatric otolaryngologist, pediatric thoracic surgeon, and an anesthetist, cannot be overemphasized. Endotracheal intubation is attempted first, if unsuccessful then is followed by insertion of a rigid bronchoscope. Tracheotomy should be reserved for airway obstructions, which are not amenable to endotracheal intubation or in babies in whom exchange from a bronchoscope to endotracheal tube cannot be safely performed. The management of six infants with prenatally diagnosed potential airway obstruction is presented. Morbidity and mortality still ultimately depend on the severity of the existent anomalies.

Original languageEnglish
Pages (from-to)207-214
Number of pages8
JournalInternational Journal of Pediatric Otorhinolaryngology
Issue number3
StatePublished - 15 Dec 1998
Externally publishedYes


  • Airway obstruction
  • Multidisciplinary team management
  • Prenatal diagnosis
  • Prenatal ultrasound


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