Deleterious consequences of gastroesophageal reflux in cleft larynx surgery

Management and long-term follow-up of patients with types III and IV laryngotracheoesophageal clefts

“…Gastric transection with placement of proximal draining and distal feeding tubes in the early neonatal period allows for airway management and operative repair without concern for reflux with aspiration or gastric acid irritation on fresh operative repairs [3,8]. In addition, enteral feeding can begin in the early postoperative period, decreasing the need for parenteral nutrition and the associated complications.…”

Techniques and Outcomes of Laryngeal Cleft Repair: An Update to the Great Ormond Street Hospital Series

“…13,14 It is with that in mind that we would recommend the routine use of antireflux measures, together with adequate mucosal excision at the apex of the cleft and interposition grafting, to reduce the need for revision surgery. 13,14 It is with that in mind that we would recommend the routine use of antireflux measures, together with adequate mucosal excision at the apex of the cleft and interposition grafting, to reduce the need for revision surgery.…”

“…Although surgical technique undoubtedly plays a part, it has been suggested that patient factors such as the presence of gastroesophageal reflux or a tracheoesophageal fistula may also predispose to repair failure. 13,14 It is with that in mind that we would recommend the routine use of antireflux measures, together with adequate mucosal excision at the apex of the cleft and interposition grafting, to reduce the need for revision surgery.…”

Reflux in esophageal atresia, tracheoesophageal cleft, and esophagocoloplasty: Bianchi's procedure as an alternative approach

“…In our opinion, these patients require an antireflux procedure performed at the time of the cleft surgery or before, in a preventive manner [6]. The associated GER is an important factor which can delay the separation of the esophagus from the trachea or make it fail, whichever type of graft is used.…”