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Int J Pediatr Otorhinolaryngol. 2018 Jan;104:216-219. doi: 10.1016/j.ijporl.2017.11.017. Epub 2017 Nov 23.

Pediatric laryngeal cleft repair and dysphagia.

Author information

1
Department of Otolaryngology - Head & Neck Surgery, University of Michigan Health System, C.S. Mott Children's Hospital, 1540 East Hospital Drive, Ann Arbor, MI 48109, United States. Electronic address: aileen.wertz@gmail.com.
2
School of Surgery, University of Western Australia, Stirling Highway, Nedlands, 6008 Western Australia, Australia; Department of Paediatric Otorhinolaryngology - Head & Neck Surgery, Princess Margaret Hospital for Children, Roberts Road, Subiaco, 6009 Western Australia, Australia.
3
Department of Otolaryngology - Head & Neck Surgery, University of Michigan Health System, C.S. Mott Children's Hospital, 1540 East Hospital Drive, Ann Arbor, MI 48109, United States; Department of Speech Language Pathology, University of Michigan Health System, C.S. Mott Children's Hospital, 1540 East Hospital Drive, Ann Arbor, MI 48109, United States.
4
Department of Otolaryngology - Head & Neck Surgery, University of Michigan Health System, C.S. Mott Children's Hospital, 1540 East Hospital Drive, Ann Arbor, MI 48109, United States.

Abstract

OBJECTIVE:

To describe changes in diet and swallow function in patients with a laryngeal cleft after surgical repair of the laryngeal cleft.

METHODS:

Retrospective case series performed using chart review. Primary outcomes were diet and swallow function before and after laryngeal cleft repair. Clinical evaluation and video fluoroscopic swallow studies (VFSS) were used to assess pre- and post intervention swallowing.

RESULTS:

16 pediatric patients were included in this study. Preoperatively, 14 (88%) patients had diet restrictions. Postoperatively, 12 (75%) patients tolerated a regular diet without limitation. 4 (25%) patients had no reduction in diet restrictions over the course of this study. For the 10 patients who transitioned to a regular diet postoperatively, a median of 300 days (range: 26 days - 3 years) passed to document achieving a regular diet. This was corroborated by an increase in normal oral and pharyngeal phase swallow function on VFSS postoperatively when compared with preoperative VFSS results.

CONCLUSION:

Dysphagia improves in most patients after laryngeal cleft repair. The range in time to a normal diet was wide. This may facilitate improved preoperative counseling and preparation of families' expectations.

KEYWORDS:

Dysphagia; Laryngeal cleft; Swallow function; Video fluoroscopic swallow study

PMID:
29287871
DOI:
10.1016/j.ijporl.2017.11.017
[Indexed for MEDLINE]

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