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Radiology Quiz Case
Oluwaseun A. Adetayo, BS;
Dana L. Suskind, MD
University of Chicago Hospitals, Chicago, Ill
Arch Otolaryngol Head Neck Surg. 2006;132:453.
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A 1-month-old boy with a history of prematurity, duodenal atresia, and multiple skin hemangiomas underwent flexible fiberoptic endoscopy for workup of mild inspiratory stridor, dysphagia, and aspiration. Previous videofluoroscopic evaluation of his swallowing function had demonstrated moderate oral aversion, poor laryngeal sensitivity, and aspiration. Flexible fiberoptic examination of his larynx demonstrated normal true vocal cord function, pooling of secretions, and an intra-arytenoid area, which was suggestive of a laryngeal cleft. Formal direct laryngoscopy and bronchoscopy were scheduled to further inspect his intra-arytenoid region.
Direct laryngoscopy and bronchoscopy demonstrated several anatomical anomalies, including a type 1 laryngeal cleft (Figure 1), a small, nonobstructing, left-sided subglottic hemangioma, and an unusual "trifurcation" configuration at the carina (Figure 2). Because there was a concern regarding a possible tracheoesophageal fistula with the history of aspiration, an attempt was made to pass a pediatric . . . [Full Text of this Article]
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Arch Otolaryngol Head Neck Surg. 2006;132(4):454.
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