TY - JOUR
T1 - International Pediatric Otolaryngology Group (IPOG)
T2 - Consensus recommendations on the prenatal and perinatal management of anticipated airway obstruction
AU - Puricelli, Michael D.
AU - Rahbar, Reza
AU - Allen, Gregory C.
AU - Balakrishnan, Karthik
AU - Brigger, Matthew T.
AU - Daniel, Sam J.
AU - Fayoux, Pierre
AU - Goudy, Steven
AU - Hewitt, Richard
AU - Hsu, Wei Chung
AU - Ida, Jonathan B.
AU - Johnson, Romaine
AU - Leboulanger, Nicolas
AU - Rickert, Scott M.
AU - Roy, Soham
AU - Russell, John
AU - Rutter, Michael
AU - Sidell, Douglas
AU - Soma, Marlene
AU - Thierry, Briac
AU - Trozzi, Marilena
AU - Zalzal, George
AU - Zdanski, Carlton J.
AU - Smith, Richard J.H.
N1 - Publisher Copyright:
© 2020 Elsevier B.V.
PY - 2020/11
Y1 - 2020/11
N2 - 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.
AB - 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.
KW - Attended delivery
KW - Congenital high airway obstruction syndrome (CHAOS)
KW - Delivery on placental support
KW - Ex utero intrapartum treatment (EXIT)
KW - Fetal head and neck mass
KW - Micrognathia
KW - Operation on placental support (OOPS)
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U2 - 10.1016/j.ijporl.2020.110281
DO - 10.1016/j.ijporl.2020.110281
M3 - Article
C2 - 32891939
AN - SCOPUS:85090150455
SN - 0165-5876
VL - 138
JO - International Journal of Pediatric Otorhinolaryngology
JF - International Journal of Pediatric Otorhinolaryngology
M1 - 110281
ER -