Objective: This study aimed to present experience with surgical treatment of laryngeal cleft cases through both open and endoscopic approaches.
Method: A retrospective evaluation of all patients diagnosed as having a laryngeal cleft in a tertiary hospital over 10 years was performed. Pre-operative data, conservative and surgical management of cases, and outcomes were collected, tabulated and analysed.
Results: This study included 43 patients aged from 2 to 44 months with a median of 9.19 months. Concerning management technique, 12 patients had conservative treatment and the remaining 31 underwent a surgical procedure (of them, 20 patients underwent endoscopic intervention and 11 had the open surgical technique). In the open group, we used either tibial periosteum (six cases) or harvested costal cartilage (five cases).
Conclusion: Surgical management in the form of endoscopic Coblation-assisted or an open approach is indicated in severe cases or mild cases not responding to conservative management.
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Article Synopsis
- Laryngeal cleft (LC) is a defect in the larynx that can cause aspiration issues during feeding, and injection laryngoplasty (IL) is a temporary treatment to reduce these symptoms by filling in the cleft.
- A study evaluated 85 patients who underwent IL and found that 96% had aspiration symptoms before the procedure, which dropped to 54% after IL, with varying degrees of symptom relief reported.
- The results indicate IL significantly improves swallowing issues related to laryngeal cleft and can serve as a useful temporary treatment before more permanent solutions are implemented.
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