Type 1 Laryngeal Cleft: Establishing a Functional Diagnostic and Management Algorithm
Authors
Wade Chien, Jean Ashland, Kenan Haver, Stephen C. Hardy, Paula Curren, Christopher J. Hartnick
Publication
International Journal of Pediatric Otorhinolaryngology
Date
December 2006
Results
“The incidence of type 1 laryngeal cleft was 7.6%. Among the 20 patients in this study, aspiration with thin liquids was the most common presenting symptom (18 patients, 90%). Three patients underwent modified barium swallow (MBS) alone, 3 patients underwent functional endoscopic evaluation of swallow (FEES) alone, and 11 patients underwent both MBS and FEES prior to intraoperative endoscopic evaluation. Four patients (20%) were successfully treated with conservative therapy. Sixteen patients (80%) required endoscopic surgical repair after failing a course of conservative measures. The success rate of surgical repair was 94% (15 out of 16 patients).”