EXIT [Ex Utero Intrapartum Treatment ] Procedure
09-10, 07:00–07:30 (Europe/Istanbul), Pediatric Otolaryngology 2

<p>Title:- EXIT [Ex Utero Intrapartum Treatment] procedure</p> <p>The EXIT procedure is defined as a procedure performed after partial externalization of the fetus from the uterine cavity, while maintaining uterine volume and fetoplacental circulation, ensuring the fetal oxygenation during airway access. Once adequate airway and ventilation are secured, the fetus can be safely taken off placental support.</p> <p>The EXIT procedure guarantees the uteroplacental gas exchange achieving hemodynamic stability under severe conditions of airway compression in the fetus, therefore, maximizing the chances of neonatal survival. It is an innovative and promising technique in the initial approach to multiple neonatal pathologies.</p> <p>The indications for EXIT procedure include various conditions associated with possible fetal airway obstruction such as congenital high airway obstruction syndrome (CHAOS) and giant neck masses arising around the upper airway are at high risk for hypoxic brain injury and death at birth. The ex utero intrapartum treatment (EXIT) procedure is a technique that can provide time to manage the fetal airway by intubation or tracheostomy while maintaining placental blood circulation to the fetus.</p> <p>Antenatal History reveals, Precious pregnancy G7 P0 L0 A6. Prenatal anomaly scan shows neck mass. We planned elective caesarian section 1week prior to EDD. Expert Team include Gynecologist, Fetal medicine expert, Anesthesiologist, Pead Surgeon, Pead ENT Surgeon, Neonatologist, OT Staff, and Technicians. we all had multiple prior meetings and practiced simulation of the EXIT procedure, allocated the timing, and role of each speciality. Finally Succeded the EXIT.</p> <p>The successful outcome of an EXIT procedure depends upon thorough and accurate prenatal investigations like imaging, including fetal ultrasonography and fetal magnetic resonance imaging (MRI) have led to changes in perinatal management and improved neonatal outcomes appropriate presurgical planning, and the availability of a highly skilled multidisciplinary team and facilities like NICU.</p> <p>Name of the Participant-Dr.Panchala Murthy</p> <p>Address- Rainbow children’s hospitals</p> <p>[email protected]</p> <p>Name of hospital- Rainbow children’s hospitals. Hyderabad, India</p>
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Speaker Speaker
Murthy Panchala
Murthy Panchala
<p>Dr. P. V. L. N. MurthyMBBS, DLO, DNB (ENT), Visiting Fellow (Switzerland), IASSA-CTP Fellow Senior Consultant – ENT, Head & Neck Surgery | Pediatric Airway, Laryngology, Voice & Sleep Surgery</p> <p>Personal & Professional ProfileDr. P. V. L. N. Murthy is a distinguished ENT, Head & Neck Surgeon with extensive expertise in Pediatric Airway Surgery, Laryngology, Voice Disorders, Sleep Surgery, Airway Reconstruction, and Advanced Endoscopic ENT Surgery. Renowned for managing complex airway disorders in neonates and children, he combines surgical innovation, academic excellence, and compassionate patient care.</p> <p>He graduated from Andhra Medical College, Visakhapatnam, in 2001, completed his Diploma in Otorhinolaryngology (DLO) from Rangaraya Medical College, Kakinada, in 2006, and obtained his Diplomate of National Board (DNB) in ENT from the IMAGE Institute of Postgraduate Medical Education & Research (IIPMER), Hyderabad, in 2009.</p> <p>Committed to continuous professional development, Dr. Murthy completed a Visiting Fellowship at Lausanne University Hospital (CHUV), Switzerland, gaining advanced exposure to contemporary airway and laryngology practices. He also completed the Indian Association of Surgeons for Sleep Apnea (IASSA) Certified Training Programme (CTP) Fellowship, enhancing his expertise in sleep-disordered breathing and upper airway surgery.</p> <p>He is an active Life Member of several prestigious professional societies, including:</p> <p>- Laryngology & Voice Association (LVA)<br>- Indian Association of Surgeons for Sleep Apnea (IASSA)<br>- Association of Otolaryngologists of India (AOI)<br>- AOI Telangana State Chapter (AOI-TS)</p> <p>Research & PublicationsDr. Murthy has contributed to evidence-based clinical practice through research and publications, including:</p> <p>- Multidisciplinary Management of Ex Utero Intrapartum Treatment (EXIT) Procedure for a Large Cervical Mass – highlighting coordinated multidisciplinary management of complex fetal airway obstruction.<br>- A Real-world Observational Study to Evaluate the Safety and Effectiveness of Fluticasone Furoate–Oxymetazoline Fixed-Dose Combination Nasal Spray in Patients with Allergic Rhinitis.</p> <p>Awards & Academic AchievementsDr. Murthy has received numerous national and international accolades for his surgical innovation and academic excellence.</p> <p>International Awards</p> <p>- First Prize – Best Video Presentation "Transoral Excision of Base Tongue Lesions in Neonates" Singapore General Hospital, Singapore 3 November 2019<br>- First Prize – Best Surgical Video "Transoral Repair of Supraglottic Stenosis" MID LVAcon (Indo-US Airway Conference) 18–20 February 2019<br>- Top Video Recognition SINOVID Competition 15th EROC Global Forum 2026 Dubai, UAE</p> <p>National Awards</p> <p>- Dr. K. U. Shah Senior Consultant Gold Medal AOICON 2024, Bengaluru, India<br>- Four Sri Poojari Lakshminarayana Gold Medals awarded for excellence in academic and surgical contributions in Otolaryngology.</p> <p>Academic LeadershipDr. Murthy is an internationally recognized faculty member and has delivered invited lectures, chaired scientific sessions, moderated panel discussions, and performed live surgical demonstrations at numerous International, National, and State-level conferences.</p> <p>He currently serves as:</p> <p>- President-Elect Laryngology & Voice Association (LVA), India<br>- Organising Chairman 6th Asia Pacific Laryngology Association (APLA) Conference in conjunction with the 14th Annual Conference of the Laryngology & Voice Association of India Laryngology Summit 2026 Hyderabad, India.</p> <p>Professional VisionDr. Murthy is dedicated to advancing the science and art of airway and voice surgery through innovation, research, multidisciplinary collaboration, and surgical education. His vision is to improve patient outcomes while mentoring the next generation of ENT surgeons and promoting excellence in pediatric airway and laryngology across India and the Asia-Pacific region.</p>