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JAMES THOMSEN, MD
Washington, DC

Arch Otolaryngol Head Neck Surg. 1990;116(2):145.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

At the 1989 meeting of the American Bronchoesophagological Association in San Francisco, Calif, Drs Charles Myer, R. Kirk Jackson, and Robin Cotton, Cincinnati, Ohio, presented a paper on the role of early surgical repair of laryngotracheoesophageal clefts. Dr Myer's discussion emphasized both diagnosis and management. The authors used the Armatrage system of classification for these clefts. In their group of patients, there were five type IA, five type IC, three type II, and one type III clefts; Dr Myer also pointed out that concomitant congenital anomalies are common in these patients, especially aerodigestive tract abnormalities. Presenting symptoms varied with the extent of the cleft, and, in fact, three patients with type I defects were incidentally discovered at the time of repair of acquired subglottic stenosis. Aspiration and respiratory distress were universal findings in patients with laryngeal clefts.

Thirteen patients underwent surgical repair of their laryngeal clefts. Anterior laryngofissure was a . . . [Full Text PDF of this Article]

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