RT Book, Section
A1 Rutter, Michael J.
A1 Azizkhan, Richard G.
A2 Ziegler, Moritz M.
A2 Azizkhan, Richard G.
A2 Allmen, Daniel von
A2 Weber, Thomas R.
SR Print(0)
ID 1100432848
T1 Posterior Laryngeal Cleft
T2 Operative Pediatric Surgery, 2e
YR 2014
FD 2014
PB McGraw-Hill Education
PP New York, NY
SN 978-0-07-162723-8
LK accesssurgery.mhmedical.com/content.aspx?aid=1100432848
RD 2024/04/25
AB Most  type  1  and  type  II  clefts  can  be  repaired  endoscopically.When  open  cleft  repair  is  required,  a  transtracheal  approach  with  a  layered  closure  is  recommended.When  there  is  a  higher  risk  of  repair  breakdown,  an  interposition  graft  is  recommended.Before  embarking  on  cleft  repair,  consideration  should  be  given  to:  (a)  placement  of  a  gastrostomy  tube;  (b)  fundoplication;  and  (c)  performing  a  tracheotomy.Type  IV  clefts  that  involve  the  carina  require  a  highly  individualized  approach.Even  in  the  presence  of  optimal  intervention,  morbidity  and  mortality  rates  remain  high.