Repair of long type IV posterior laryngeal cleft through a cervical approach using cricotracheal separation

Evan J. Propst, Jonathan B. Ida, Michael J. Rutter*

*Corresponding author for this work

Research output: Contribution to journalArticle

9 Scopus citations

Abstract

A female infant with CHARGE syndrome and a long type IV cleft extending to within 5 mm of the carina underwent transcervical repair at 5 weeks of age. The trachea was transected from the cricoid cartilage and was peeled off the esophagus. The front of the esophagus and the back of the trachea were repaired while still ventilating the patient. The trachea was reconnected to the cricoid cartilage. This technique obviated the need for a sternal split, thoracotomy, cardiopulmonary bypass, or extracorporeal membrane oxygenation. It improved visibility, access, airway stability, and coverage of the anastomosis with periosteum permitting a three-layer closure. Laryngoscope, 2013

Original languageEnglish (US)
Pages (from-to)801-804
Number of pages4
JournalLaryngoscope
Volume123
Issue number3
DOIs
StatePublished - Mar 1 2013

Keywords

  • LTE cleft
  • Laryngeal cleft
  • aspiration
  • cervical approach
  • cricotracheal separation
  • long type IV
  • sternal periosteum
  • tibial periosteum
  • type 4

ASJC Scopus subject areas

  • Otorhinolaryngology

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