Laryngeal Cleft Type 2 in a 20-Month-Old Infant: a Case Report

Document Type : Case Report

Authors

1 Assistant Professor, Department of Pediatrics, School of Medicine, Kurdistan University of Medical Sciences, Sanandaj, Iran

2 Lecture, Department of Midwifery, School of Nursing and Midwifery, Kurdistan University of Medical Sciences, Sanandaj, Iran

3 Assistant Professor, Department of Nursing, School of Nursing and Midwifery, Kurdistan University of Medical Sciences, Sanandaj, Iran

Abstract

Background: Cleft of the larynx is a congenital abnormality caused by an abnormal connection between the esophagus, trachea, and larynx. This disease is rare as it can be a principal cause of respiratory and feeding morbidity in the infant and pediatric. The treatment method for laryngeal cleft is based on the different clinical conditions of the patient and includes drug treatment and surgical restorative treatments. In this article, a case of laryngeal cleft type 2 in an infant girl 20 months is reported.
Case presentation: A 20-month-old female infant was brought to the hospital complaining of shortness of breath and wheezing. The infant has been admitted to the hospital 3 times due to swallowing problems, weight loss, and wheezing with the diagnosis of lung infection. After performing the diagnostic procedures, grade 2 laryngeal cleft was diagnosed, and the infant was a candidate for surgery and tracheostomy. After the surgery, taking medicine for one month, and leaving the tracheostomy, the general condition of the infant was good.
Conclusion: It is necessary to perform surgery and tracheostomy in the laryngeal gap to solve the patient's breathing problems.

Highlights

Shilan Mohammad: Google Scholar, PubMed

Neda Sheikh Zakaryaee: Google Scholar, PubMed

Keywords

Main Subjects


  1. Osborn AJ, De Alarcon A, Tabangin ME, Miller CK, Cotton RT, Rutter MJ. Swallowing function after laryngeal cleft repair: more than just fixing the cleft. Laryngoscope 2014; 124(8): 1965–9.
  2. Rossi MS, Bernardis Buhler KE, Ventura GAB, Otoch JP, Olivan Limongi SC. Laryngeal cleft type I in neonate: case report. Codas 2014; 26(5): 421-4.
  3. Strychowsky JE, Rahbar R. Laryngotracheoesophageal clefts. Semin Pediatr Surg 2016; 25(3): 128–31.
  4. Martha VV, Vontela S, Calder AN, Martha RR, Sataloff RT. Laryngeal cleft: A literature review Am J Otolaryngol 2021; 42(6): 103072.‏
  5. Benjamin B, Inglis A. Minor congenital laryngeal clefts: diagnosis and classification. Ann Otol Rhinol Laryngol 1989; 98(6): 417–20.
  6. Bowe SN, Hartnick CJ. Management of type I and type II laryngeal clefts: controversies and evidence. Curr Opin Otolaryngol Head Neck Surg 2017; 25(6): 506–13.
  7. Isaac A, Svystun O, Johannsen W, El-Hakim H. Injection augmentation and endoscopic repair of type 1 laryngeal clefts: development of a management algorithm. J Otolaryngol Head Neck Surg 2020; 49(1): 49.
  8. Jorgensen C, Trivedi A, Cheng A, De Lima J, Walker K. Laryngeal cleft—case series from a surgical neonatal intensive care unit. Aust J Otolaryngol 2018;
    1(2): 10.
  9. Mangat HS, El-Hakim H. Injection augmentation of type I laryngeal clefts. Otolaryngol Head Neck Surg 2012; 146(5): 764–8.
  10. Johnston DR, Watters K, Ferrari LR, Rahbar R. Laryngeal cleft: evaluation and management. Int J Pediatr Otorhinolaryngol 2014; 78(6): 905-11.‏
  11. Day KE, Smith NJ, Kulbersh BD. Early surgical intervention in type I laryngeal cleft. Int J Pediatr Otorhinolaryngol 2016; 90: 236–40. ‏
  12. Cohen MS, Zhuang L, Simons JP, Chi DH, Maguire RC, Mehta DK. Injection laryngoplasty for type 1 laryngeal cleft in children. Otolaryngol Head Neck Surg 2011; 144(5): 789–93.
  13. Aljomah D, Alshammari J. Laser assisted double-layer endoscopic repair of laryngeal clefts: out experience in 11 cases. Indian J Otolaryngol Head Neck Surg 2017; 69(3): 307–12.
  14. Martha VV, Vontela S, Calder AN, Martha RR, Sataloff RT. Laryngeal cleft: a literature review. Am J Otolaryngol 2021; 42(6): 103072.
  15. Timashpolsky A, Schild SD, Ballard DP, Leventer SP, Rosenfeld RM, Plum AW. Management of type 1 laryngeal clefts: a systematic review and meta-analysis. Otolaryngol Head Neck Surg 2021; 164(3): 489-500.