Agree with Stefan - antenatal counselling by obstetrician neonatologist and ENT consultants to ensure family are fully aware and in agreement with plan; MRI to look at gap and also assess for other anomalies; extensive multi-team planning to ensure everything is available for the ENT team (kit and staff). Ensure that all teams are sufficiently prepped and staffed on the day, and that the delivery is early in the day shift (just makes it easier to have it planned that way). We have also set up an adjacent theatre to ensure ENT can proceed with surgery if required/appropriate immediately.