Techniques and outcomes of laryngeal cleft repair: an update to the Great Ormond Street Hospital series.
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.
Kubba
Haytham
H
Department of Paediatric Otolaryngology, Great Ormond Street Hospital for Children, London, England.
Gibson
Daren
D
Bailey
Martin
M
Hartley
Ben
B
D002675:Child, Preschool; D005205:Fascia / Q000637:transplantation; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007828:Laryngoscopy; D007830:Larynx / Q000002:abnormalities* / Q000601:surgery*; D017063:Outcome Assessment, Health Care; D011446:Prospective Studies; D012086:Reoperation / Q000706:statistics & numerical data; D014132:Trachea / Q000601:surgery; D006113:United Kingdom