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Premium Clinical Aspects of Type 1 Posterior Laryngeal Clefts: Literature Review and a Report of 31 Patients
Author(s)
van der Doef Hubert P.,
Yntema Jan Bart,
van den Hoogen Frank J.,
Marres Henri A.
Publication year2007
Publication title
the laryngoscope
Resource typeJournals
PublisherJohn Wiley & Sons
Abstract Objectives : The clinical relevance of posterior laryngeal clefts (PLCs) of type 1 has only recently been highlighted in the medical literature. We present a review of the literature and a report of a contributive series of 31 type 1 PLC patients. Study Design and Methods : We performed a MEDLINE search of studies published between 1966 and September 2005 and a retrospective cohort study in children aged 0 to 16 years. Results : In the reviewed articles as well as in the presented study, a high degree of comorbidity in patients with PLC type 1 is reported. The majority of patients (90%) with severe problems with oral feedings were treated conservatively by means of nasogastric tube feeding. Conclusions : Increased awareness improves the chances of an accurate diagnosis of type 1 PLC in patients with congenital stridor. Type 1 PLC may be present in all patients with congenital stridor and laryngomalacia, particularly when stridor is accompanied by symptoms such as feeding difficulties and choking.
Subject(s)airway , anatomy , choking , clinical significance , laryngomalacia , law , medicine , medline , pediatrics , political science , retrospective cohort study , stridor , surgery
Language(s)English
SCImago Journal Rank1.181
H-Index148
eISSN1531-4995
pISSN0023-852X
DOI10.1097/mlg.0b013e318033c2e9

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