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선천성 상기도폐쇄증후군에서의 분만 중 자궁 외 치료 1예

하승철1,*, 이영하2,*, 구자윤1, 이윤세1,*
Seung Cheol Ha1,*, Young-Ha Lee2,*, Ja Yoon Ku1, Yoon Se Lee1,*
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1울산대학교 의과대학 서울아산병원 이비인후과학교실
2영남대학교 의과대학 이비인후-두경부외과학교실
1Department of Otorhinolaryngology-Head and Neck Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
2Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine, Yeungnam University, Daegu, Korea
*교신저자: 이윤세, 05505 서울 송파구 올림픽로 43길 88 울산대학교 의과대학 서울아산병원 이비인후과학교실 전화 :(02) 3010-3710·전송 :(02) 489-2773 E-mail:manseilee@gmail.com

*These authors equally contributed this article

© Copyright 2017 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Received: Sep 14, 2017; Revised: Oct 25, 2017; Accepted: Nov 23, 2017

Published Online: May 31, 2020

ABSTRACT

The Ex-Utero Intrapartum Treatment (EXIT) is a procedure that secures the airway in fetus with upper airway obstruction. Congenital high airway obstruction syndrome (CHAOS) is a blockage of the fetal trachea or larynx due to narrowing of the airway (stenosis), a web-like membrane, or even an area of the trachea that is missing (atresia). If it was not adequately diagnosed and managed in prenatal evaluation, infant would not survive after birth. We present a case of CHAOS, which was treated successfully by the EXIT procedure during the delivery. (J Clinical Otolaryngol 2017;28:297-301)

Keywords: 선천성 기도폐쇄; 선천성 후두폐쇄증; 후두기관협착증; 기관절개술
Keywords: Congenital airway obstruction; Congenital laryngeal atresia; Laryngotracheal stenosis; Tracheostomy