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Airway and Swallowing Outcomes in Children With Combined Laryngomalacia and Laryngeal Cleft.
Escudero, Caleb; Tanenbaum, Zachary; Riad, Rahal; Weiner, Rebecca; Kanotra, Sohit P.
Afiliación
  • Escudero C; Otolaryngology - Head and Neck Surgery, University of Iowa Hospitals and Clinics, Iowa City, USA.
  • Tanenbaum Z; Otolaryngology - Head and Neck Surgery, University of Iowa Hospitals and Clinics, Iowa City, USA.
  • Riad R; Pediatric Gastroenterology, University of Iowa Stead Family Children's Hospital, Iowa City, USA.
  • Weiner R; Pediatric Medicine, University of Iowa Stead Family Children's Hospital, Iowa City, USA.
  • Kanotra SP; Otolaryngology - Head and Neck Surgery, University of California Los Angeles, Los Angeles, USA.
Cureus ; 16(4): e58914, 2024 Apr.
Article en En | MEDLINE | ID: mdl-38800278
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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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Cureus Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Cureus Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos