Pediatric laryngeal cleft repair with coblation: Functional comparison of a novel technique with traditional methods

Shah, Hemali P.; Brawley, Craig Cameron; Maurrasse, Sarah; Schumacher, Jane; Ganesh, Meera; Thompson, Dana M.; Ida, Jonathan B.; Valika, Taher

doi:10.1016/j.ijporl.2022.111378

Cited by 2 publications

(3 citation statements)

References 22 publications

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“…The findings of this study supported the efficacy and safety of Coblation for laryngeal cleft repair. 27 Injection laryngoplasty in the interarytenoid area conferred some benefit in patients with type I laryngeal cleft where the goal was to provide a 'fullness' of the deficient area. But a randomised, controlled prospective study would be needed to determine the patients who would benefit from such treatment.…”

Section: Discussionmentioning

confidence: 99%

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Repair of posterior laryngeal cleft: a 10-year experience in a tertiary referral hospital

et al. 2023

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Objective This study aimed to present experience with surgical treatment of laryngeal cleft cases through both open and endoscopic approaches. Method A retrospective evaluation of all patients diagnosed as having a laryngeal cleft in a tertiary hospital over 10 years was performed. Pre-operative data, conservative and surgical management of cases, and outcomes were collected, tabulated and analysed. Results This study included 43 patients aged from 2 to 44 months with a median of 9.19 months. Concerning management technique, 12 patients had conservative treatment and the remaining 31 underwent a surgical procedure (of them, 20 patients underwent endoscopic intervention and 11 had the open surgical technique). In the open group, we used either tibial periosteum (six cases) or harvested costal cartilage (five cases). Conclusion Surgical management in the form of endoscopic Coblation-assisted or an open approach is indicated in severe cases or mild cases not responding to conservative management.

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Section: Discussionmentioning

confidence: 99%

“…The findings of this study supported the efficacy and safety of Coblation for laryngeal cleft repair. 27…”

Section: Discussionmentioning

confidence: 99%

Repair of posterior laryngeal cleft: a 10-year experience in a tertiary referral hospital

et al. 2023

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“…Type I laryngeal cleft is a supraglottic cleft that does not extend below the vocal folds. 4 5 6 7 8 9 10 11 12 13 The diagnosis of a type I laryngeal cleft requires meticulous examination of the interarytenoid region as it may be challenging to differentiate from a normal pediatric larynx. Clefts not reaching the true vocal folds have been described as a deep interarytenoid groove (DIG).…”

Section: Introductionmentioning

confidence: 99%

Outcomes of Injection Laryngoplasty for Deep Interarytenoid Groove

Mothersole,

Ulualp,

Johnson

et al. 2023

Int Arch Otorhinolaryngol

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Introduction Deep interarytenoid groove (DIG) may cause swallowing dysfunction in children; however, the management of DIG has not been established. Objective We evaluated the subjective and objective outcomes of interarytenoid augmentation with injection in children with DIG. Methods Consecutive children under 18 years of age who underwent injection laryngoplasty for DIG were reviewed. Data pertaining to demographics, past medical history, past surgical history, and results of pre and postoperative video fluoroscopic swallow study (VFSS) were obtained. The primary outcome measure was the presence of thin liquid aspiration or penetration on postoperative VFSS. The secondary outcome measure was caregiver-reported improvement of symptoms. Results Twenty-seven patients had VFSS before and after interarytenoid augmentation with injection (IA). Twenty (70%) had thin liquid penetration and 12 (44%) had thin liquid aspiration before the IA. Thin liquid aspiration resolved in 9 children (45%) and persisted in 11 (55%). Of the 12 children who had thin liquid aspiration prior to IA, 6 (50%) had resolution of thin liquid aspiration after IA. Conclusions Injection laryngoplasty is a safe tool to improve swallowing function in children with DIG. Further studies are needed to assess the long-term outcomes of IA and identify predictors of successful IA in children with DIG.

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Pediatric laryngeal cleft repair with coblation: Functional comparison of a novel technique with traditional methods

Cited by 2 publications

References 22 publications

Repair of posterior laryngeal cleft: a 10-year experience in a tertiary referral hospital

Repair of posterior laryngeal cleft: a 10-year experience in a tertiary referral hospital

Outcomes of Injection Laryngoplasty for Deep Interarytenoid Groove

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