Diagnosis and management of type 1 laryngeal cleft.

Abstract:

:Posterior laryngeal clefts have been reported as exceptionally rare congenital anomalies. We demonstrate that type 1 posterior laryngeal clefts are more common than previously described, by reporting a series of 12 type 1 posterior laryngeal clefts diagnosed at our institution over a 12-month period. Typically, type 1 posterior laryngeal clefts are managed conservatively. In our series, 75% of the clefts were treated successfully with endoscopic repair, following failure of conservative management. This suggests surgical repair may be warranted in a greater number of type 1 posterior laryngeal clefts in an attempt to prevent associated morbidity, secondary to aspiration, pneumonia and respiratory distress. We highlight the importance of educating other paediatric specialities in maintaining a high index of suspicion for the presence of a posterior laryngeal cleft when treating patients with suggestive symptoms. This leads to early referral and diagnosis.

authors

Watters K,Russell J

doi

10.1016/s0165-5876(03)00058-2

subject

Has Abstract

pub_date

2003-06-01 00:00:00

pages

591-6

issue

6

eissn

0165-5876

issn

1872-8464

pii

S0165587603000582

journal_volume

67

pub_type

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