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

Publication date: October 2017
Source:International Journal of Pediatric Otorhinolaryngology, Volume 101
Author(s): Jeffrey C. Yeung, Karthik Balakrishnan, Alan T.L. Cheng, Sam J. Daniel, Eréa-Noël Garabedian, Catherine K. Hart, Andrew F. Inglis, Nicolas Leboulanger, Bryan J. Liming, Eric Moreddu, Richard Nicollas, John D. Russell, Michael J. Rutter, Douglas R. Sidell, Jorge Spratley, Marlene Soma, Briac Thierry, Dana M. Thompson, Jean-Michel Triglia, Karen Watters, Michelle Wyatt, George H. Zalzal, Karen B. Zur, Reza Rahbar
IntroductionThe 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.ObjectiveTo provide recommendations for the diagnosis and management of type I laryngeal clefts.MethodsDetermination of current expert- and literature-based recommendations, via a survey of the International Pediatric Otolaryngology Group, using a modified Delphi method.SettingMultinational, multi-institutional, tertiary pediatric hospitals.ResultsConsensus recommendations include diagnostic workup, medical management, pre-operative, intra-operative and post-operative considerations for type I laryngeal clefts.ConclusionsThis 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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