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European Archives of Oto-Rhino-Laryngology

18.05.2024 | Laryngology

Outcomes of surgical repair of Type III and IV laryngotracheoesophageal clefts with posterior cartilage grafting

verfasst von: Letian Tan, Qi Li, Chao Chen

Erschienen in: European Archives of Oto-Rhino-Laryngology

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Abstract

Purpose

To describe the clinical outcomes of patients who underwent surgical repair through an anterior approach that involved interposition a posterior cartilage for Type III or Type IV laryngotracheoesophageal cleft (LTEC).

Methods

A chart view was performed on patients with Type III or Type IV LTEC between May 2017 and May 2022. Demographic features and surgical outcomes were collected and analyzed.

Results

Seven patients were finally included. Five patients were diagnosed with Type III LTEC and two patients were diagnosed with Type IV LTEC. All but one patients survived and thrived. Four patients were able to successfully extubate with acceptable voice, and two patients were tracheostomized. Five patients were deemed safe for all consistencies food and one was safe for thickened food. After a mean follow-up of 49 months (18–83 months), neither complications nor recurrences were observed.

Conclusion

An anterior laryngofissure approach to the cleft repair with a posterior cartilage grafting is an effective and safe treatment for Type III or IV LTEC, which enables closure of LTEC and reconstruction of cricoid plate in order to avoid tracheoesophageal fistula formation or subglottic stenosis postoperatively. Severe tracheomalacia and GERD are two main causes for surgical failure.

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Titel: Outcomes of surgical repair of Type III and IV laryngotracheoesophageal clefts with posterior cartilage grafting
verfasst von: Letian Tan
Qi Li
Chao Chen
Publikationsdatum: 18.05.2024
Verlag: Springer Berlin Heidelberg
Erschienen in: European Archives of Oto-Rhino-Laryngology
Print ISSN: 0937-4477
Elektronische ISSN: 1434-4726
DOI: https://doi.org/10.1007/s00405-024-08701-1

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Outcomes of surgical repair of Type III and IV laryngotracheoesophageal clefts with posterior cartilage grafting

Abstract

Purpose

Methods

Results

Conclusion

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Abstract

Purpose

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Results

Conclusion

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