The varying presentations of type I laryngeal cleft: illustrative cases in a set of triplets

Rajeev C Saxena; Andrew R Scott

doi:10.1016/j.ijporl.2015.01.013

The varying presentations of type I laryngeal cleft: illustrative cases in a set of triplets

Int J Pediatr Otorhinolaryngol. 2015 Apr;79(4):620-2. doi: 10.1016/j.ijporl.2015.01.013. Epub 2015 Jan 22.

Authors

Rajeev C Saxena¹, Andrew R Scott²

Affiliations

¹ Department of Otolaryngology, Tufts University School of Medicine, Boston, MA, United States.
² Department of Otolaryngology, Tufts University School of Medicine, Boston, MA, United States; Division of Pediatric Otolaryngology and Facial Plastic Surgery, Floating Hospital For Children at Tufts Medical Center, Boston, MA, United States. Electronic address: ascott@tuftsmedicalcenter.org.

PMID: 25661006
DOI: 10.1016/j.ijporl.2015.01.013

Abstract

We present the first known instance of type 1 laryngeal cleft (T1LC) in a set of triplets. Individuals with T1LC typically present on a spectrum, from asymptomatic to recurrent aspiration pneumonias and failure to thrive. Each of the triplets in this family had a unique clinical presentation and treatment plan. Management of T1LC should be influenced by the severity of symptoms rather than the presence or absence of the anomaly itself. These three cases also support the notion that severity of symptoms may be independent of shared biological parents, home environment, and age.

Keywords: Chronic aspiration; Laryngeal cleft; Management.

Publication types

Case Reports

MeSH terms

Congenital Abnormalities / diagnosis*
Congenital Abnormalities / therapy
Failure to Thrive / etiology*
Female
Humans
Infant
Larynx / abnormalities*
Male
Pneumonia, Aspiration / etiology*
Respiratory System Abnormalities / complications*
Respiratory System Abnormalities / diagnosis*
Respiratory System Abnormalities / therapy
Triplets

Supplementary concepts

Laryngeal cleft