European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026
Clinical characteristics and surgical outcomes in children with congenital laryngeal clefts.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Yang Yang, Tang Xinye, Zhang Zhihai, Ding Ling, Peng Yanling, Xiao Ling
Аннотация
OBJECTIVE: To characterize the clinical profile of congenital laryngeal clefts (CLCs) and to assess the outcomes of surgical repair in affected children.
METHODS: A retrospective review was conducted on pediatric patients (0-18 years) diagnosed with CLC and treated at our hospital between June 2019 and June 2025. Collected variables included demographic characteristics, presenting symptoms, cleft classification, comorbidities, surgical approach, and postoperative follow-up outcomes.
RESULTS: A total of 82 patients were included, with a male-to-female ratio of 1.41:1. Infants aged 6-12 months represented the largest subgroup (37.80%). The predominant presenting symptom was choking on feeds/fluids (71.95%). Type I clefts were most common (76.83%), and the leading comorbidity was synchronous airway lesions (39.02%). All patients underwent endoscopic laryngeal cleft repair, achieving an overall success rate of 95.12%. When comparing methods of freshening cleft margins in Type I clefts, use of the Nd: YAG laser was associated with shorter operative duration and reduced intraoperative bleeding compared to conventional laryngeal forceps/scalpel techniques (P < 0.05). However, postoperative edema resolution times did not differ significantly (P > 0.05).
CONCLUSION: The most frequent manifestation of CLC is choking on feeds/fluids, with Type I being the predominant form, which is often accompanied by various medical complications. Endoscopic laryngeal cleft repair demonstrates excellent efficacy. The Nd: YAG laser, with its minimally invasive nature and advantage of reduced intraoperative bleeding, represents a valuable tool for clinical application in CLC repair.
METHODS: A retrospective review was conducted on pediatric patients (0-18 years) diagnosed with CLC and treated at our hospital between June 2019 and June 2025. Collected variables included demographic characteristics, presenting symptoms, cleft classification, comorbidities, surgical approach, and postoperative follow-up outcomes.
RESULTS: A total of 82 patients were included, with a male-to-female ratio of 1.41:1. Infants aged 6-12 months represented the largest subgroup (37.80%). The predominant presenting symptom was choking on feeds/fluids (71.95%). Type I clefts were most common (76.83%), and the leading comorbidity was synchronous airway lesions (39.02%). All patients underwent endoscopic laryngeal cleft repair, achieving an overall success rate of 95.12%. When comparing methods of freshening cleft margins in Type I clefts, use of the Nd: YAG laser was associated with shorter operative duration and reduced intraoperative bleeding compared to conventional laryngeal forceps/scalpel techniques (P < 0.05). However, postoperative edema resolution times did not differ significantly (P > 0.05).
CONCLUSION: The most frequent manifestation of CLC is choking on feeds/fluids, with Type I being the predominant form, which is often accompanied by various medical complications. Endoscopic laryngeal cleft repair demonstrates excellent efficacy. The Nd: YAG laser, with its minimally invasive nature and advantage of reduced intraoperative bleeding, represents a valuable tool for clinical application in CLC repair.