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Repair of posterior laryngeal cleft: a 10-year experience in a tertiary referral hospital

Published online by Cambridge University Press:  19 April 2023

Ahmed El-Sobki ,
Hemmat Baz ,
Reham AE Ibrahim ,
Mohamed E El Deeb Open the ORCID record for Mohamed E El Deeb [Opens in a new window] ,
Noha Ahmed El-Kholy Open the ORCID record for Noha Ahmed El-Kholy [Opens in a new window] ,
Bassem Ashraf ,
Menna Ibrahim Hashish  and
Ahmed Negm
Ahmed El-Sobki
Affiliation:
Otorhinolaryngology Department, Faculty of Medicine, Mansoura University, Mansoura, Egypt
Hemmat Baz
Affiliation:
Phoniatrics Department, Faculty of Medicine, Mansoura University, Mansoura, Egypt
Reham AE Ibrahim
Affiliation:
Phoniatrics Department, Faculty of Medicine, Assiut University, Assiut, Egypt
Mohamed E El Deeb*
Affiliation:
Otorhinolaryngology Department, Faculty of Medicine, Kafrelsheikh University, Kafrelsheikh, Egypt
Noha Ahmed El-Kholy
Affiliation:
Otorhinolaryngology Department, Faculty of Medicine, Mansoura University, Mansoura, Egypt
Bassem Ashraf
Affiliation:
Otorhinolaryngology Department, Faculty of Medicine, Mansoura University, Mansoura, Egypt
Menna Ibrahim Hashish
Affiliation:
Pediatrics, Pediatrics Department, Faculty of Medicine, Mansoura University, Mansoura, Egypt
Ahmed Negm
Affiliation:
Otorhinolaryngology Department, Faculty of Medicine, Misr University for Science and Technology, Cairo, Egypt
*
Corresponding author: Mohamed El Deeb; Email: deeb_van@yahoo.com
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Abstract

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.

Keywords

Laryngeal cleftpediatricsendoscopylaryngopharyngeal refluxrespiratory aspiration
Type
Main Article
Information
The Journal of Laryngology & Otology , Volume 138 , Issue 2 , February 2024 , pp. 188 - 195
Copyright
Copyright © The Author(s), 2023. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

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Footnotes

Mohamed Deeb takes responsibility for the integrity of the content of the paper

References

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