Annals of Otology Rhinology & Laryngology · 2005 · 71 citations · 8 references
MedicinePlastic SurgerySurgeryOtolaryngologic SurgeryPediatric OtolaryngologyPediatric Plastic SurgeryLaryngeal ReconstructionPediatric LaryngologyPediatric Otolaryngologic SurgeryCleft Defect RepairCongenital Laryngeal Anomaly RepairDirect Anterior ApproachInterposition GraftingInterposition GraftsLaryngeal CleftsPediatric Cleft RepairPediatric Laryngeal Surgery
We present an update to the Great Ormond Street Hospital series of laryngeal clefts, describing a further 35 clefts of Benjamin-Inglis types 1 through 3 treated between 1992 and 2003. Associated congenital anomalies were common. Most type 1 and smaller type 2 clefts were repaired endoscopically, whereas larger clefts were repaired through an anterior approach. Increasing use was made recently of a 3-layer repair with an interposition graft of temporalis fascia. The rates of complication, revision surgery, and death were 54%, 26%, and 6%, respectively. Most of the children are now orally fed, and 9 still have a tracheotomy.
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