Endoscopic repair of laryngeal cleft type I and type II: When and why?

Rahbar, Reza; Chen, Judy L.; Rosen, Rachel; Lowry, Kristen C.; Simon, Dawn M.; Perez, Jennifer; Buonomo, Carlo; Ferrari, Lynne R.; Katz, Eliot S.

doi:10.1002/lary.20551

Cited by 94 publications

(104 citation statements)

References 19 publications

(37 reference statements)

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“…There is relative heterogeneity in the literature as to how surgical success is defined. Successful decannulation, the elimination of pulmonary complications such as aspiration pneumonia, tolerance of oral feeding, or the elimination of clinical signs of aspiration have all been used to define surgical success [2,4,8,10]. In our cohort, we used MBS as a pre-and post-operative metric to evaluate aspiration.…”

Section: Discussionmentioning

confidence: 99%

Surgical management of type I and II laryngeal cleft in the pediatric population

Chiang

McConnell

Ruiz

et al. 2014

International Journal of Pediatric Otorhinolaryngology

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Section: Discussionmentioning

confidence: 99%

Surgical management of type I and II laryngeal cleft in the pediatric population

Chiang

McConnell

Ruiz

et al. 2014

International Journal of Pediatric Otorhinolaryngology

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“…Excision of suprastomal granulomas prior to tracheostomy tube removal appears to be the most frequent indication in children [119,120]. In addition, endoscopic laser therapy has been reported in the management of symptomatic tracheal pouches, sealing of recurrent tracheoesophageal fistulas, repair of laryngo-tracheal clefts and splitting complete tracheal rings in congenital tracheal stenosis [96,[121][122][123].…”

Section: Boxmentioning

confidence: 99%

ERS statement: interventional bronchoscopy in children

et al. 2017

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Paediatric airway endoscopy is accepted as a diagnostic and therapeutic procedure, with an expanding number of indications and applications in children. The aim of this European Respiratory Society task force was to produce a statement on interventional bronchoscopy in children, describing the evidence available at present and current clinical practice, and identifying areas deserving further investigation. The multidisciplinary task force panel performed a systematic review of the literature, focusing on whole lung lavage, transbronchial and endobronchial biopsy, transbronchial needle aspiration with endobronchial ultrasound, foreign body extraction, balloon dilation and occlusion, laser-assisted procedures, usage of airway stents, microdebriders, cryotherapy, endoscopic intubation, application of drugs and other liquids, and caregiver perspectives. There is a scarcity of published evidence in this field, and in many cases the task force had to resort to the collective clinical experience of the committee to develop this statement. The highlighted gaps in knowledge underline the need for further research and serve as a call to paediatric bronchoscopists to work together in multicentre collaborations, for the benefit of children with airway disorders.

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“…Factors supporting surgical repair include clinically apparent aspiration with feeding, severity of pulmonary status, Wndings on modiWed barium swallow and chest X-ray, and absence of signiWcant comorbid conditions predisposing to aspiration [12]. The timing and approach for surgical repair depends on the severity of the symptoms, associated abnormalities, and the type of the cleft.…”

Section: Discussionmentioning

confidence: 98%

An unusual case of anterior and posterior laryngeal cleft together: combined cleft of larynx

Bırkent

Durmaz

Karakoç

et al. 2011

Eur Arch Otorhinolaryngol

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Congenital clefts of the larynx are rare and usually found dorsally. An anterior or ventral cleft of the larynx is extremely rare. Only a few patients with this defect have been reported in the literature. The purpose of this paper is to present a patient having an anterior and posterior laryngeal cleft together. A 20-year-old man presented with a history of dysphonia since childhood. He did not report symptoms of swallowing or respiration, and had no history of neck trauma. Findings of videolaryngoscopy showed a grossly abnormal larynx. The anterior commissure was wider than normal, and the vocal folds did not show a fusion anteriorly. There was an interarytenoid cleft posteriorly. A neck CT with 3D reconstruction demonstrated a ventral cleft or nonfusion of the thyroid cartilage with a posterior cricoid cleft. Barium swallow study was in normal limits. Since the patient did not have any problem with swallowing or respiration, no surgical intervention was planned, and the patient was put on speech therapy, which revealed improvement in voice. To our knowledge, this is the first case of a combined laryngeal cleft. The diagnosis is established by the clinical symptoms, endoscopic evaluation, and radiographic examinations including 3D and barium studies.

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Endoscopic repair of laryngeal cleft type I and type II: When and why?

Cited by 94 publications

References 19 publications

Surgical management of type I and II laryngeal cleft in the pediatric population

Surgical management of type I and II laryngeal cleft in the pediatric population

ERS statement: interventional bronchoscopy in children

An unusual case of anterior and posterior laryngeal cleft together: combined cleft of larynx

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