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 2024/10/16 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.