International Pediatric Otolaryngology Group: Consensus guidelines on the diagnosis and management of type I laryngeal clefts

Yeung, J. C.; Balakrishnan, K.; Cheng, A. T. L.; Daniel, S. J.; Garabedian, E. N.; Hart, C. K.; Inglis, A. F., Jr.; Leboulanger, N.; Liming, B. J.; Moreddu, E.; Nicollas, R.; Russell, J. D.; Rutter, M. J.; Sidell, D. R.; Spratley, J.; Soma, M.; Thierry, B.; Thompson, D. M.; Triglia, J. M.; Watters, K.; Wyatt, M.; Zalzal, G. H.; Zur, K. B.; Rahbar, R.

Int J Pediatr Otorhinolaryngol. 2017 Oct 2; 101:51-56

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.

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