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Type 1 Laryngeal Clefts: An Updated Review

  • Pediatric Airway and Voice (K. Zur and D. Mehta, Section Editors)
  • Published:
Current Otorhinolaryngology Reports Aims and scope Submit manuscript

Abstract

Difficulty with feeding is not an uncommon presenting symptom in patients seeking pediatric otolaryngology consultation, and the differential diagnosis is lengthy. While severe laryngeal clefts often present close to the time of birth, type 1 clefts may present after several years of life. A standardized approach to the patient with a type 1 laryngeal cleft (T1LC) has not yet been well described. A debate still exists regarding the clinical significance of a T1LC as well as the ideal management.

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References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

  1. Cochard LR. Netter’s atlas of human embryology. Updated Ed. Chapter 5. The respiratory system. Chicago: Saunders Elsevier; 2012. p. 113–129.

  2. Cochard LR. Netter’s atlas of human embryology. Updated Ed. Chapter 6. The gastrointestinal system and abdominal wall. Chicago: Saunders Elsevier; 2012. p. 131–156.

  3. Cohen MS, Zhuang L, Simons JP, Chi DH, Maguire RC, Mehta DK. Injection laryngoplasty for type 1 laryngeal cleft in children. Otolaryngol Head Neck Surg. 2011;144(5):789–93.

    Article  PubMed  Google Scholar 

  4. Chien W, Ashland J, Haver K, Hardy SC, Curren P, Hartnick CJ. Type 1 laryngeal cleft: establishing a functional and management algorithm. IJPO. 2006;70:2073–9.

    Google Scholar 

  5. •• Horn DL, DeMarre K, Parikh SR. Interarytenoid sodium carboxymehtylcellulose gel injection for management of pediatric aspiration. Ann Otol Rhinol Laryngol. 2014;123:852–8. Novel approach to pediatric aspiration.

    Article  PubMed  Google Scholar 

  6. Johnston DR, Watters K, Ferrari LR, Rahbar R. Laryngeal cleft: evaluation and management. IJPO. 2014;78:905–11.

    Google Scholar 

  7. Ketcham AS, Smith JE, Lee FS, Halstead LA, White DR. Clinical course following endoscopic repair of type 1 laryngeal clefts. IJPO. 2008;72:1261–7.

    Google Scholar 

  8. • Mangat HS, El-Hakim H. Injection augmentation of type 1 laryngeal clefts. Otolaryngol Head Neck Surg. 2012;146(5):764–8. Largest injection laryngoplasty study for laryngeal cleft patients to date.

    Article  PubMed  Google Scholar 

  9. Parsons DS, Stivers FE, Giovenetto DR, Phillips SE. Type I posterior laryngeal clefts. Laryngoscope. 1998;108:403–10.

    Article  CAS  PubMed  Google Scholar 

  10. Watters K, Russell J. Diagnosis and management of type 1 laryngeal cleft. IJPO. 2003;76:591–6.

    Google Scholar 

  11. •• Ojha S, Ashland JE, Hersh C, Ramarishna J, Maurer R, Hartnick CJ. Type 1 laryngeal cleft—a multidimensional management algorithm. JAMA Otolaryngol Head Neck Surg. 2014;140(1):34–40. Excellent study design assessing timing of improvement and specific comorbidities.

    Article  PubMed  Google Scholar 

  12. Rahbar R, Chen JL, Rosen RL, Lowry KC, Simon DM, Perez JA, Buonomo C, Ferrari LR, Katz ES. Endoscopic repair of laryngeal cleft type I and type II: when and why? Laryngoscope. 2009;119:1797–802.

    Article  PubMed  Google Scholar 

  13. Brady S, Donzelli J. The modified barium swallow and the functional endoscopic evaluation of swallowing. Otolaryngol Clin N Am. 2013;46:1009–22.

    Article  Google Scholar 

  14. Kieran SM, Katz E, Rosen R, Khatwa U, Martin T, Rahbar R. The lipid laden macrophage index as a marker of aspiration in patients with type I and II laryngeal clefts. IJPO. 2010;74:743–6.

    Google Scholar 

  15. Reilly BK, Katz ES, Misono AS, Khatwa U, Didas A, Huang L, Haver K, Rahbar R. Utilization of liped-laden macrophage index in evaluation of aerodigestive disorders. Laryngoscope. 2011;121(5):1055–9.

    Article  PubMed  Google Scholar 

  16. Ferrari L, Zurakowski D, Solari J, Rahbar R. Anesthesia for laryngeal cleft surgery. Ped Anesth. 2013;23:334–41.

    Article  Google Scholar 

  17. Watters K, Ferrari L, Rahbar R. Minimally invasive approach to laryngeal cleft. Laryngoscope. 2013;123:264–8.

    Article  PubMed  Google Scholar 

  18. Ferrell JK, Roy S, Karni RJ, Yuksel S. Applications for transoral robotic surgery in the pediatric airway. Laryngoscope. 2014;124:2630–5.

    Article  PubMed  Google Scholar 

  19. Leonardis RL, Duvvuri U, Mehta D. Transoral robotic-assisted laryngeal cleft repair in the pediatric patient. Laryngoscope. 2014;124:2167–9.

    Article  PubMed  Google Scholar 

  20. Kennedy CA, Heimbach M, Rimell FL. 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 

  21. Tucker GF, Maddalozzo J. “Occult” posterior laryngeal cleft. Laryngoscope. 1987;97(6):701–4.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Medical University of South Carolina, 135 Rutledge Ave. MSC 550, Charleston, SC, 29425, USA

    Karen A. Hawley & David R. White

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  1. Karen A. Hawley
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  2. David R. White
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Correspondence to David R. White.

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This article is part of the Topical Collection on Pediatric Airway and Voice.

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Hawley, K.A., White, D.R. Type 1 Laryngeal Clefts: An Updated Review. Curr Otorhinolaryngol Rep 3, 9–14 (2015). https://doi.org/10.1007/s40136-014-0068-3

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  • DOI: https://doi.org/10.1007/s40136-014-0068-3

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