Posterior laryngeal cleft — anaesthetic experiences

Tratamiento endoscópico de una hendidura laríngea posterior: Reporte de un caso y revisión de la literatura

“…El tratamiento quirúrgico está indicado cuando falla el tratamiento médico y en el caso del cleft tipo 1, el tratamiento endoscópico se ha convertido en el tratamiento de elección 18 . El primer abordaje endoscópico fue realizado por Yamashita en 1979 19 . Se considera un abordaje seguro, con una baja morbimortalidad, con una tasa de éxito de 81%-94% 6,[8][9][10][11][14][15][16]18,[20][21][22][23] .…”

Laryngotracheo‐oesophageal cleft in an infant: airway management during bronchoscopy

“…Use of a nasotracheal tube for surgery (14) or for postoperative mechanical ventilation has been suggested (15). We do not see any additional advantage of inserting a nasotracheal rather than an orotracheal tube in such a case.…”

“…Tracheostomy has been favoured by many authors (3,5,7,12,15,16). However, as the surgery was planned with a cervical incision, it would have presented problems for the surgeon.…”

“…Yamashita et al . (15) used insufflation anaesthesia with spontaneous ventilation during repair of posterior laryngeal cleft by the intraluminal approach using the Jako suspension laryngoscope. Repair of the LTOC in our case was not possible with the intraluminal approach because the defect was very large.…”

Endoscopic Surgical Treatment of Laryngotracheal Clefts

“…2 Among different kinds of procedures, we also proposed in 1998 an open approach via a laryngofissure that included interposition of a tibial periosteal graft between the esophageal and laryngotracheal mucous membranes. 3 However, the advent of minimally invasive endoscopic surgery in the 1980s [4][5][6][7] modified the treatment of type I and II clefts and gave rise to the possibility of endoscopic treatment of type III clefts. Through 11 clinical cases involving primary or secondary endoscopic procedures, we examine the advantages and limitations of the endoscopic approach.…”