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Evaluation and Repair of Laryngotracheoesophageal Clefts

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Esophageal and Gastric Disorders in Infancy and Childhood

Abstract

A laryngotracheoesophageal cleft (LTEC) is a fissure between the laryngotracheal and pharyngoesophageal systems. The incidence is currently estimated to be 1:10,000 to 1:20,000 births and is increasing as less severe clefts are more often recognized [18]. Laryngeal clefts are more common in male children, with a male to female ratio of 5:3. Sixty percent are associated with other congenital abnormalities, most commonly tracheoesophageal fistula and tracheomalacia [12].

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References

  1. Benjamin B, Inglis A. Minor congenital laryngeal clefts: diagnosis and classification. Ann Otol Rhinol Laryngol. 1989;98:417–20.

    Article  CAS  PubMed  Google Scholar 

  2. Bent JP, et al. Endoscopic repair of type IA laryngeal clefts. Laryngoscope. 1997;107:282–6.

    Article  PubMed  Google Scholar 

  3. Broomfield SJ, et al. Primary endoscopic repair of intermediate laryngeal clefts. J Laryngol Otol. 2011;125(5):513–6.

    Article  CAS  PubMed  Google Scholar 

  4. Chelius D et al. Five-year review of Gelfoam injection for posterior laryngeal clefts. Presentation at ASPO 2011.

    Google Scholar 

  5. Chien W, et al. Type I laryngeal cleft: establishing a functional diagnostic and management algorithm. Int J Pediatr Otorhinolaryngol. 2006;70:2073–9.

    Article  PubMed  Google Scholar 

  6. Cohen MS, et al. Injection laryngoplasty for type I laryngeal clefts in children. Otolaryngol Head Neck Surg. 2010;144(5):789–693.

    Article  Google Scholar 

  7. Garabedian EN, et al. Posterior laryngeal clefts: preliminary report of a new surgical procedure using tibial periosteum as an interposition graft. Laryngoscope. 1998;108(6):899–902.

    Article  CAS  PubMed  Google Scholar 

  8. Hamming KK et al. Type I laryngeal cleft – a novel therapy. Poster presentation at ASPO conference 2011.

    Google Scholar 

  9. Kawaguchi A, et al. Management and long-term follow-up of patients with types III and IV laryngotracheoesophageal clefts. J Pediatr Surg. 2005;40:158–65.

    Article  PubMed  Google Scholar 

  10. Kennedy CA, et al. Diagnosis and determination of the clinical significance of type IA laryngeal clefts by gelfoam injection. Ann Otol Rhinol Laryngol. 2000;109(11):991–5.

    Article  CAS  PubMed  Google Scholar 

  11. Kieran SM, et al. The lipid laden macrophage index as a marker of aspiration in patients with type I and II laryngeal clefts. Int J Pediatr Otorhinolaryngol. 2010;74:743–6.

    Article  PubMed  Google Scholar 

  12. Pezzettigotta SM. Laryngeal cleft. Otolaryngol Clin North Amer. 2008;41(5):913–33.

    Article  Google Scholar 

  13. Rahbar R, et al. The presentation and management of laryngeal cleft: a 10-year experience. Arch Otolaryngol Head Neck Surg. 2006;132:1335–41.

    Article  PubMed  Google Scholar 

  14. Rahbar R, et al. Endoscopic repair of laryngeal cleft type I and type II: when and why? Laryngoscope. 2008;119:1797–802.

    Article  Google Scholar 

  15. Rutter MJ. Congenital airway and respiratory tract anomalies. London: Springer; 2009.

    Book  Google Scholar 

  16. Sandu K, Monnier P. Endoscopic laryngotracheal cleft repair without tracheostomy or intubation. Laryngoscope. 2006;116:630–4.

    Article  PubMed  Google Scholar 

  17. Thiel G, et al. The management of laryngeal clefts. Int J Pediatr Otorhinolaryngolog. 2011;75:1525–8.

    Article  Google Scholar 

  18. Watters K, Russell J. Diagnosis and management of type I laryngeal cleft. Int J Pediatr Otorhinolaryngol. 2003;67(6):591–6.

    Article  PubMed  Google Scholar 

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Correspondence to Katherine K. Hamming .

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Hamming, K.K., Rimell, F.L. (2017). Evaluation and Repair of Laryngotracheoesophageal Clefts. In: Till, H., Thomson, M., Foker, J., Holcomb III, G., Khan, K. (eds) Esophageal and Gastric Disorders in Infancy and Childhood. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-11202-7_18

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  • DOI: https://doi.org/10.1007/978-3-642-11202-7_18

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