ArticleObstetrics & gynecology science2021
Perinatal outcome of fetuses with congenital high airway obstruction syndrome: a single-center experience.
Article in Obstetrics & gynecology science, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- The Ex-utero intrapartum treatment procedure: a narrative review.Frontiers in pediatrics · 2025Review
- Enhanced Diagnostic Capabilities: Ultrasound Imaging of Fetal Alimentary Tract Obstruction with Advanced Imaging Technologies.The American journal of case reports · 2024Article
- Mixed Heterotopic Gastrointestinal/Respiratory Oral Cysts in Newborns: From Prenatal Diagnosis to Histopathological and Therapeutic Management: A Case Report and Literature Review.Diagnostics (Basel, Switzerland) · 2024Article
- Prenatal Diagnosis and Outcome of Tracheal Agenesis as Part of Congenital High Airway Obstruction Syndrome. Case Presentation and Literature Review.Medicina (Kaunas, Lithuania) · 2021Review
- An Observational Study of Discourse Tasks and Running Speech Sampling in the Assessment of Paediatric Voice Quality.International journal of language & communication disordersObservational
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Authors and funding
11 authors.
Funding
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Abstract
objectiveTo report our experience with management of fetuses with congenital high airway obstruction syndrome (CHAOS).
methodsWe retrospectively reviewed the cases of fetuses who were prenatally diagnosed and postnatally confirmed with CHAOS between 2010 and 2019 at Asan Medical Center, Seoul, Korea.
resultsOf 13 fetuses prenatally diagnosed with CHAOS, 7 were lost to follow-up and 6 were postnatally confirmed as having CHAOS. All fetuses, except one were delivered via cesarean section with an ex utero intrapartum treatment (EXIT) procedure. Two patients had coexisting congenital heart diseases requiring several cardiac surgeries following birth. Both of these patients demonstrated developmental delay; however, the remaining 4 had a normal development except for expressive language. Two infants died of respiratory complications, and the remaining 4 were alive at the end of the follow-up period. All 4 live patients underwent tracheostomy with planned reconstruction surgery. Three children are now able to phonate, and 1 can maintain a conservation.
conclusionThe proper management of CHAOS using the EXIT procedure results in high survival and low hypoxemia-induced complication rates. Therefore, an accurate prenatal diagnosis is necessary for an appropriate perinatal management.
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