{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,21]],"date-time":"2026-04-21T05:06:09Z","timestamp":1776747969065,"version":"3.51.2"},"reference-count":19,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2024,5,9]],"date-time":"2024-05-09T00:00:00Z","timestamp":1715212800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Prenatal Diagnosis"],"published-print":{"date-parts":[[2024,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Fetal head and neck masses can result in critical airway obstruction. Our study aimed to evaluate prenatal factors associated with the decision for a definitive airway, including ex\u2010utero intrapartum treatment (EXIT), at birth among at\u2010risk fetuses.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A single\u2010institution retrospective review evaluated all fetal head and neck masses prenatally diagnosed from 2005 to 2023. The primary outcome was the decision for a definitive airway at birth, including intubation, tracheostomy, or EXIT.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Thirty four patients were included, with 23 deliveries occurring at our institution. 8\/23 (35%) patients received a definitive airway at birth, six underwent an EXIT procedure, and two required intubation only. Patients who received a definitive airway had higher rates of polyhydramnios (50% vs. 7%, <jats:italic>p<\/jats:italic>\u00a0=\u00a00.03), tracheal narrowing on ultrasound (US) (50% vs. 0%, <jats:italic>p<\/jats:italic>\u00a0=\u00a00.01), tracheal displacement on US (63% vs. 0%, <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.01), abnormal fetal breathing on US (50% vs. 0%, <jats:italic>p<\/jats:italic>\u00a0=\u00a00.01), tracheal narrowing or displacement on magnetic resonance imaging (MRI) (75% vs. 7%, <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a00.01), and larger mass maximum diameter (7.9 vs. 4.3\u00a0cm, <jats:italic>p<\/jats:italic>\u00a0=\u00a00.02). In our series, 100% of patients with polyhydramnios, tracheal narrowing or displacement on either US or MRI, and abnormal fetal breathing on US received a definitive airway at birth.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Prenatal findings of tracheal narrowing or displacement, polyhydramnios, and abnormal fetal breathing are strongly associated with the decision for a definitive airway at birth and warrant mobilization of appropriate resources.<\/jats:p><\/jats:sec>","DOI":"10.1002\/pd.6586","type":"journal-article","created":{"date-parts":[[2024,5,10]],"date-time":"2024-05-10T03:29:08Z","timestamp":1715311748000},"page":"1225-1230","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Management of fetal head and neck masses: Evaluation of prenatal factors associated with airway obstruction and decision for definitive airway and ex\u2010utero intrapartum treatment at birth"],"prefix":"10.1002","volume":"44","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4257-0135","authenticated-orcid":false,"given":"Nicholas","family":"Schmoke","sequence":"first","affiliation":[{"name":"Division of Pediatric Surgery Department of Surgery Columbia University Vagelos College of Physicians and Surgeons\/NewYork\u2010Presbyterian Morgan Stanley Children's Hospital  New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher","family":"Nemeh","sequence":"additional","affiliation":[{"name":"Division of Pediatric Surgery Department of Surgery Columbia University Vagelos College of Physicians and Surgeons\/NewYork\u2010Presbyterian Morgan Stanley Children's Hospital  New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yeu Sanz","family":"Wu","sequence":"additional","affiliation":[{"name":"Division of Pediatric Surgery Department of Surgery Columbia University Vagelos College of Physicians and Surgeons\/NewYork\u2010Presbyterian Morgan Stanley Children's Hospital  New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Terri","family":"Wilken","sequence":"additional","affiliation":[{"name":"Division of Pediatric Surgery Department of Surgery Columbia University Vagelos College of Physicians and Surgeons\/NewYork\u2010Presbyterian Morgan Stanley Children's Hospital  New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pengchen","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Surgery Center for Innovation and Outcomes Research Columbia University Irving Medical Center  New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul","family":"Kurlansky","sequence":"additional","affiliation":[{"name":"Department of Surgery Center for Innovation and Outcomes Research Columbia University Irving Medical Center  New York New York USA"},{"name":"Division of Cardiac, Thoracic, and Vascular Surgery Columbia University Vagelos College of Physicians and Surgeons  New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexis","family":"Maddocks","sequence":"additional","affiliation":[{"name":"Department of Radiology Columbia University Vagelos College of Physicians and Surgeons\/NewYork\u2010Presbyterian Morgan Stanley Children's Hospital  New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chia\u2010Ling","family":"Nhan\u2010Chang","sequence":"additional","affiliation":[{"name":"Division of Maternal\u2010Fetal Medicine Department of Obstetrics &amp; Gynecology Columbia University Vagelos College of Physicians and Surgeons\/NewYork\u2010Presbyterian Morgan Stanley Children's Hospital  New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Russell","family":"Miller","sequence":"additional","affiliation":[{"name":"Division of Maternal\u2010Fetal Medicine Department of Obstetrics &amp; Gynecology Columbia University Vagelos College of Physicians and Surgeons\/NewYork\u2010Presbyterian Morgan Stanley Children's Hospital  New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lynn L.","family":"Simpson","sequence":"additional","affiliation":[{"name":"Division of Maternal\u2010Fetal Medicine Department of Obstetrics &amp; Gynecology Columbia University Vagelos College of Physicians and Surgeons\/NewYork\u2010Presbyterian Morgan Stanley Children's Hospital  New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vincent","family":"Duron","sequence":"additional","affiliation":[{"name":"Division of Pediatric Surgery Department of Surgery Columbia University Vagelos College of Physicians and Surgeons\/NewYork\u2010Presbyterian Morgan Stanley Children's Hospital  New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,5,9]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.3390\/children9070944"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/0300060521999765"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.4103\/2249\u20104847.106004"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.epsc.2013.03.003"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eurox.2019.100027"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1155\/2013\/243590"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2011.10.022"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2021.110851"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.28959"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.18.19753"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/MOP.0b013e3283531b51"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884\u2010020\u201003304\u20100"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1159\/000533348"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jogoh.2021.102252"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjorl.2020.12.006"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2020.02.011"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2018.09.018"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2019.03.018"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1002\/oto2.66"}],"container-title":["Prenatal Diagnosis"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/pd.6586","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,17]],"date-time":"2024-11-17T12:08:28Z","timestamp":1731845308000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1002\/pd.6586"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,5,9]]},"references-count":19,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2024,9]]}},"alternative-id":["10.1002\/pd.6586"],"URL":"https:\/\/doi.org\/10.1002\/pd.6586","archive":["Portico"],"relation":{},"ISSN":["0197-3851","1097-0223"],"issn-type":[{"value":"0197-3851","type":"print"},{"value":"1097-0223","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,5,9]]},"assertion":[{"value":"2024-02-16","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-04-29","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-05-09","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}