Outcomes and Resource Utilization of Endoscopic Mass-Closure Technique for Laryngeal Clefts

Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
Karthik BalakrishnanMichael J Rutter

Abstract

To compare resource utilization and clinical outcomes between endoscopic mass-closure and open techniques for laryngeal cleft repair. Case series with chart review. Tertiary academic children's hospital. Pediatric patients undergoing repair for Benjamin-Inglis type 1-3 laryngeal clefts over a 15-year period. All 20 patients undergoing endoscopic repair were included. Eight control patients undergoing open repair were selected using matching by age and cleft type. Demographic, clinical, and resource utilization data were collected. Twenty-eight patients were included (20 endoscopic, 8 open). Mean age, rates of tracheostomy and vocal fold immobility, and distribution of cleft types were not different between the 2 groups (all P > .2). Mean operative time (P = .004) and duration of hospital stay (P < .001) were significantly shorter in the endoscopic group. All repairs were intact in both groups at final postoperative endoscopy. Rates of persistent laryngeal penetration or aspiration on swallow study were not different between groups (P = 1.000), although results were available for only 11 patients. Endoscopic laryngeal cleft repair using a mass-closure technique provides a durable result while requiring significantly shorter oper...Continue Reading

References

Mar 1, 1991·Archives of Otolaryngology--head & Neck Surgery·P J KoltaiJ N Evans
Jun 1, 1989·The Annals of Otology, Rhinology, and Laryngology·B Benjamin, A Inglis
Dec 21, 2006·Archives of Otolaryngology--head & Neck Surgery·Reza RahbarErea-Noel Garabedian
Jun 26, 2014·The Annals of Otology, Rhinology, and Laryngology·David L HornSanjay R Parikh
Aug 8, 2014·The Laryngoscope·Alexander J OsbornMichael J Rutter

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Citations

Nov 3, 2016·Current Opinion in Otolaryngology & Head and Neck Surgery·Sharon H Gnagi, David R White
Sep 7, 2018·Clinical Otolaryngology : Official Journal of ENT-UK ; Official Journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery·Andre Isaac, Hamdy El-Hakim
Jan 18, 2021·International Journal of Pediatric Otorhinolaryngology·Patrick KiesslingKarthik Balakrishnan
Jun 27, 2021·Seminars in Pediatric Surgery·Yann-Fuu Kou, Michael J Rutter
Sep 18, 2021·The Laryngoscope·Yann-Fuu KouAlessandro de Alarcon

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