AI Article Synopsis
- Laryngomalacia (LM) and laryngeal cleft (LC) can cause difficulty swallowing (dysphagia) when present together, but it's uncommon for them to occur at the same time.
- The study discusses four patients who underwent surgeries for both conditions and highlights that while the stridor (a wheezing sound from the throat) resolved after supraglottoplasty (SGP) surgery, all patients continued to experience dysphagia.
- It suggests that flexible fiberoptic laryngoscopy might not reliably detect both conditions together and recommends performing SGP first, followed by laryngeal cleft repair (LCR) for better outcomes.
Article Abstract
Laryngomalacia (LM) and laryngeal cleft (LC) can independently cause dysphagia but rarely can occur concomitantly. We discuss the presentation, decision-making, and swallow outcomes following surgical correction of combined LM and LC. We present four patients with combined LM and an LC who underwent both primary supraglottoplasty (SGP) and laryngeal cleft repair (LCR). Each patient presented with recurrent choking or coughing with feeds. Stridor was only present in two patients. Patients with SGP saw the resolution of stridor when present, but dysphagia persisted in all four cases. LCR clinically and objectively resolved all symptoms of dysphagia. We found that flexible fiberoptic laryngoscopy is not always reliable at detecting combined pathology. Patients presenting with persistent dysphagia following SGP should be suspected of having interarytenoid pathology. We recommend a staged surgical approach with SGP before LCR.
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11120009 | PMC |
| http://dx.doi.org/10.7759/cureus.58914 | DOI Listing |
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