Revision Repair of Type IV Laryngotracheoesophageal Cleft Using Multiple Long Tapered Engaging Grafts
Authors
Evan J. Propst
Publication
International Journal of Pediatric Otorhinolaryngology
Date
December 2017
Conclusions
“Securing a LTEG to the cricoid and extending it along the length of a cleft repair in neonates adds rigidity that may obviate the need for a tracheotomy. Older children may require a second thin cartilage graft sutured to it distally to span the entire repair. This can add rigidity to allow for decannulation and oral feeding while providing a four-layer closure to prevent recurrent fistula and aspiration.”