Pediatric Swallowing Function in the Presence of Laryngeal Cleft and Laryngomalacia: a Review of the Literature
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Purpose of Review
The etiologies of pediatric dysphagia are complex and varied, and the impact of medical and surgical interventions for laryngeal anomalies on pediatric swallow function is still being defined. We aim to review recent literature on evaluation and management of pediatric dysphagia for children with laryngomalacia (LM) and laryngeal cleft (LC).
A review of the literature over the last 5 years was completed using search engines PubMed and Google Scholar. Specific journals reviewed include “The International Journal of Pediatric Otorhinolaryngology,” “Dysphagia,” “JAMA Otolaryngology Head and Neck Surgery,” and “The Laryngoscope.” Articles were identified which discuss management of laryngomalacia and laryngeal cleft and the impact on pediatric dysphagia.
Management of pediatric dysphagia for patients diagnosed with LM and LC requires multiple considerations including timing of interventions, presence of comorbidities, and coordinated care with multidisciplinary teams. Evaluation of swallow function with the appropriate test at the right time interval is critical for improved patient outcomes and patient safety. Trends toward use of evidence-based clinical pathways are encouraged and supported by recent literature.
KeywordsPediatric dysphagia Laryngeal cleft Laryngomalacia Aspiration
The authors appreciate the assistance provided by Kristina W. Rosbe, MD, FAAP, FACS; Sarah Schneider, MS CCC-SLP; and Angela Haas, MA CCC-SLP, in formatting and editing this paper. The authors would also like to acknowledge, research assistant, Madeline Helmig, BS for her assistance in initial research compilation.
Compliance with Ethical Standards
Conflict of Interest
The authors declare that they have no conflict of interest.
Human and Animal Rights
This article does not contain any studies with human or animal subjects performed by any of the authors.
Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance
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