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Successful management of laryngotracheosophageal cleft through an anterior approach
Authors:Jose Carlos de Fraga  João Pippi Salle  Mauro Boher  Carlos R Antunes
Affiliation:(1) Division of Paediatric Surgery, Hospital das Clinicas of Porto Alegre, 2350 Ramiro Barcelos Street, Room 935, Porto Alegre, Rio Grande do Sul, Brazil;(2) Division of Paediatric, Hospital das Clinicas of Porto Alegre, 2350 Ramiro Barcelos Street, Room 935, Porto Alegre, Rio Grande do Sul, Brazil;(3) The Hospital for Sick Children, 222 Elm Street, apt 1403, M5T 1K5 Toronto, Ontario, Canada
Abstract:Laryngotracheoesophageal cleft is an uncommon disease that is difficult to diagnose and treat. Repair of the cleft depends on length and localization of the defect as well as the associated anomalies. A successful repair of a type II cleft is reported in this paper. An anterior split of the larynx and trachea was used and provided excellent exposure and safe repair without injury to the neurovascular structures. This is the best approach and should be used to correct all type II defects.
Keywords:Cleft larynx  Congenital laryngotracheoesophageal cleft  Anterior laryngofissure
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