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Adv Otorhinolaryngol. 2012;73:95-100. doi: 10.1159/000334452. Epub 2012 Mar 29.

Laryngeal cleft.

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Departments of Otolaryngology and Communication Enhancement, Children's Hospital Boston, 300 Longwood Avenue, Boston, MA 02115, USA.


Laryngeal cleft, first described by Richter in 1792, is a rarecongenital malformation. Diagnosis can be challenging and is contingent upon a high index of suspicion based on clinical presentation, interpretation of preoperative studies and a thorough endoscopic evaluation under general anesthesia whereby the posterior glottis is carefully palpated for any evidence of a cleft. Management involves feeding and medical therapy. When this fails, endoscopic repair is possible in type 1, 2 and selective type 3 laryngeal clefts. We describe the diagnosis and endoscopic management of type 1 laryngeal clefts, highlighting surgical pearls necessary for success.

[Indexed for MEDLINE]

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