{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,5]],"date-time":"2026-03-05T16:41:11Z","timestamp":1772728871960,"version":"3.50.1"},"reference-count":21,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2013,8,4]],"date-time":"2013-08-04T00:00:00Z","timestamp":1375574400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Prenatal Diagnosis"],"published-print":{"date-parts":[[2013,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>The aims of this study were to review fetal and maternal outcomes after management of the compromised perinatal airway via operation on placental support or <jats:italic>ex utero<\/jats:italic> intrapartum treatment and to discuss implications for future management of these complex and rare cases.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We have presented a retrospective case series of 12 neonates requiring airway management on placental support at a single tertiary care, academic center.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>One mother experienced significant blood loss. Operative recovery times were unremarkable. Eight neonates required airway management due to mass obstruction, two for removal of an endotracheal balloon for fetoscopic treatment of congenital diaphragmatic hernia, one for laryngeal atresia, and one for severe retrognathia. One of our series is an unusual case of management on placental support after vaginal delivery. Another child would have ideally been managed on placental support, but an extremely short umbilical cord prevented this. Even though the airway was secured in all 12 cases, five neonates died in the perinatal period.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>These procedures have a risk for substantial maternal blood loss. Despite excellent rates of success securing the neonatal airway, children who require management on placental support still have high mortality. A formalized multidisciplinary approach at our institution has enhanced preparedness for these cases. \u00a9 2013 John Wiley &amp; Sons, Ltd.<\/jats:p><\/jats:sec>","DOI":"10.1002\/pd.4200","type":"journal-article","created":{"date-parts":[[2013,7,19]],"date-time":"2013-07-19T09:02:45Z","timestamp":1374224565000},"page":"1080-1087","source":"Crossref","is-referenced-by-count":18,"title":["Multidisciplinary perinatal management of the compromised airway on placental support: lessons learned"],"prefix":"10.1002","volume":"33","author":[{"given":"Alexander J.","family":"Osborn","sequence":"first","affiliation":[{"name":"Department of Otolaryngology \u2013 Head and Neck Surgery, Hospital for Sick Children University of Toronto  Toronto ON Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Baud","sequence":"additional","affiliation":[{"name":"Fetal Medicine Unit, Department of Obstetrics &amp; Gynaecology Mount Sinai Hospital, University of Toronto  Toronto ON Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alison J.","family":"Macarthur","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia Mount Sinai Hospital, University of Toronto  Toronto ON Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Evan J.","family":"Propst","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology \u2013 Head and Neck Surgery, Hospital for Sick Children University of Toronto  Toronto ON Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vito","family":"Forte","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology \u2013 Head and Neck Surgery, Hospital for Sick Children University of Toronto  Toronto ON Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susan M.","family":"Blaser","sequence":"additional","affiliation":[{"name":"Department of Diagnostic Imaging Hospital for Sick Children, University of Toronto  Toronto ON Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rory","family":"Windrim","sequence":"additional","affiliation":[{"name":"Fetal Medicine Unit, Department of Obstetrics &amp; 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