Feeding a Child With a Laryngeal Cleft

Feeding and swallowing start inside the womb. While growing in the uterus, a baby practices swallowing amniotic fluid. In the womb, a baby does not need to coordinate breathing and swallowing at the same time. However, as soon as the baby is born and takes their first breath, the coordination of this complex process of breathing and swallowing begins. 

Some babies, particularly those with more severe clefts or multiple diagnoses, may immediately show difficulty in breathing and swallowing during their first moments and days of life. They will likely receive intervention in the NICU to help them safely breathe, swallow saliva, and eat. Other babies may not show obvious signs at birth, but as days, weeks, or months pass, their difficulties become apparent. 

Children with dysphagia due to a laryngeal cleft will likely need help with feeding and swallowing. The degree to which their swallow is impacted is related to the severity of their cleft, the child’s ability to compensate for their anatomical difference, and other medical issues that can impact the swallow and feeding.

This section presumes your child has been diagnosed with a type 1 laryngeal cleft and is under the care of a comprehensive medical team. Many ENTs recommend feeding therapy before and after surgical intervention for a laryngeal cleft. Children with more severe clefts may also benefit from feeding therapy. 

So, how do you feed a baby or child with a laryngeal cleft, and what can you expect on their feeding journey? Check out the sections in the menu above to find out more.