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Laryngoscope. 2007 May;117(5):859-63.

Clinical aspects of type 1 posterior laryngeal clefts: literature review and a report of 31 patients.

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1
Departments of Pediatric Pulmonology, Radboud University Nijmegen Medical Center, Nijmegen, the Netherlands.

Abstract

OBJECTIVES:

The clinical relevance of posterior laryngeal clefts (PLCs) of type 1 has only recently been highlighted in the medical literature. We present a review of the literature and a report of a contributive series of 31 type 1 PLC patients.

STUDY DESIGN AND METHODS:

We performed a MEDLINE search of studies published between 1966 and September 2005 and a retrospective cohort study in children aged 0 to 16 years.

RESULTS:

In the reviewed articles as well as in the presented study, a high degree of comorbidity in patients with PLC type 1 is reported. The majority of patients (90%) with severe problems with oral feedings were treated conservatively by means of nasogastric tube feeding.

CONCLUSIONS:

Increased awareness improves the chances of an accurate diagnosis of type 1 PLC in patients with congenital stridor. Type 1 PLC may be present in all patients with congenital stridor and laryngomalacia, particularly when stridor is accompanied by symptoms such as feeding difficulties and choking.

PMID:
17473683
DOI:
10.1097/MLG.0b013e318033c2e9
[Indexed for MEDLINE]
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