Jeffrey C Yeung1, Karthik Balakrishnan2, Alan T L Cheng3, Sam J Daniel4, Eréa-Noël Garabedian5, Catherine K Hart6, Andrew F Inglis7, Nicolas Leboulanger5, Bryan J Liming8, Eric Moreddu9, Richard Nicollas9, John D Russell10, Michael J Rutter6, Douglas R Sidell11, Jorge Spratley12, Marlene Soma13, Briac Thierry5, Dana M Thompson14, Jean-Michel Triglia9, Karen Watters15, Michelle Wyatt16, George H Zalzal17, Karen B Zur18, Reza Rahbar15. 1. Department of Otolaryngology and Communication Enhancement, Boston Children's Hospital, Boston, MA, USA. Electronic address: jeffrey.yeung@childrens.harvard.edu. 2. Department of Otorhinolaryngology, Mayo Clinic, Rochester, MN, USA. 3. Department of Pediatric Otolaryngology, Children's Hospital Westmead, Sydney, NSW, Australia. 4. Division of Pediatric Otolaryngology, Montreal Children's Hospital, Montreal, QC, Canada. 5. Pediatric Otolaryngology Department, Hôpital Necker-Enfants Malades, Assistance Publique Hôpitaux de Paris, Paris, France. 6. Division of Pediatric Otolaryngology/Head and Neck Surgery, Cincinnati Children's Medical Center, Cincinnati, OH, USA. 7. Division of Otolaryngology - Head & Neck Surgery, Seattle Children's Hospital, Seattle, WA, USA. 8. Department of Otolaryngology, University of Iowa Hospitals and Clinics, Iowa City, IA, USA. 9. Department of Pediatric Otolaryngology, La Timone Children's Hospital, Assistance Publique Hôpitaux de Marseille, Marseille, France. 10. Department of ENT, Our Lady's Children's Hospital, Crumlin, Dublin, Ireland. 11. Department of Otolaryngology - Head & Neck Surgery, Lucile Packard Children's Hospital, Palo Alto, CA, USA. 12. Department of Otorhinolaryngology, University of Porto Medical School - Hospital S. Joao Ctr., CINTESIS, Porto, Portugal. 13. Department of Paediatric Otolaryngology, Sydney Children's Hospital, Randwick, NSW, Australia. 14. Division of Otolaryngology - Head & Neck Surgery, Ann & Robert H. Lurie Children's Hospital, Chicago, IL, USA. 15. Department of Otolaryngology and Communication Enhancement, Boston Children's Hospital, Boston, MA, USA. 16. Department of ENT, Great Ormond Street Hospital, London, UK. 17. Department of Otolaryngology, Children's National Hospital, Washington DC, USA. 18. Division of Otolaryngology, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Abstract
INTRODUCTION: The diagnosis and management of type I laryngeal clefts can be controversial and varies across centers and surgeons. Using existing peer-reviewed literature to develop an expert-based consensus will help guide physicians in the treatment of these patients as well as develop research hypotheses to further study this condition. OBJECTIVE: To provide recommendations for the diagnosis and management of type I laryngeal clefts. METHODS: Determination of current expert- and literature-based recommendations, via a survey of the International Pediatric Otolaryngology Group, using a modified Delphi method. SETTING: Multinational, multi-institutional, tertiary pediatric hospitals. RESULTS: Consensus recommendations include diagnostic workup, medical management, pre-operative, intra-operative and post-operative considerations for type I laryngeal clefts. CONCLUSIONS: This guide on the diagnosis and management of patients with type I laryngeal clefts is aimed at improving patient care and promoting future hypothesis generation and research to validate the recommendations made here.
INTRODUCTION: The diagnosis and management of type I laryngeal clefts can be controversial and varies across centers and surgeons. Using existing peer-reviewed literature to develop an expert-based consensus will help guide physicians in the treatment of these patients as well as develop research hypotheses to further study this condition. OBJECTIVE: To provide recommendations for the diagnosis and management of type I laryngeal clefts. METHODS: Determination of current expert- and literature-based recommendations, via a survey of the International Pediatric Otolaryngology Group, using a modified Delphi method. SETTING: Multinational, multi-institutional, tertiary pediatric hospitals. RESULTS: Consensus recommendations include diagnostic workup, medical management, pre-operative, intra-operative and post-operative considerations for type I laryngeal clefts. CONCLUSIONS: This guide on the diagnosis and management of patients with type I laryngeal clefts is aimed at improving patient care and promoting future hypothesis generation and research to validate the recommendations made here.