September 2019 HSC Section 1 Congenital and Pediatric Problems

Reprinted by permission of Int J Pediatr Otorhinolaryngol. 2017; 101:51-56.

International Journal of Pediatric Otorhinolaryngology 101 (2017) 51 e 56

Contents lists available at ScienceDirect

International Journal of Pediatric Otorhinolaryngology

journal homepage: http://www.ijporlonline.com/

International Pediatric Otolaryngology Group: Consensus guidelines on the diagnosis and management of type I laryngeal clefts Jeffrey C. Yeung a , * , Karthik Balakrishnan b , Alan T.L. Cheng c , Sam J. Daniel d , Erea-No € el Garabedian e , Catherine K. Hart f , Andrew F. Inglis Jr. g , Nicolas Leboulanger e , Bryan J. Liming h , Eric Moreddu i , Richard Nicollas i , John D. Russell j , Michael J. Rutter f , Douglas R. Sidell k , Jorge Spratley l , Marlene Soma m , Briac Thierry e , Dana M. Thompson n , Jean-Michel Triglia i , Karen Watters a , Michelle Wyatt o , George H. Zalzal p , Karen B. Zur q , Reza Rahbar a a Department of Otolaryngology and Communication Enhancement, Boston Children's Hospital, Boston, MA, USA b Department of Otorhinolaryngology, Mayo Clinic, Rochester, MN, USA e Pediatric Otolaryngology Department, H ^ opital Necker-Enfants Malades, Assistance Publique H ^ opitaux de Paris, Paris, France f Division of Pediatric Otolaryngology/Head and Neck Surgery, Cincinnati Children's Medical Center, Cincinnati, OH, USA g Division of Otolaryngology e Head & Neck Surgery, Seattle Children's Hospital, Seattle, WA, USA h Department of Otolaryngology, University of Iowa Hospitals and Clinics, Iowa City, IA, USA i Department of Pediatric Otolaryngology, La Timone Children's Hospital, Assistance Publique H ^ opitaux de Marseille, Marseille, France j Department of ENT, Our Lady's Children's Hospital, Crumlin, Dublin, Ireland k Department of Otolaryngology e Head & Neck Surgery, Lucile Packard Children's Hospital, Palo Alto, CA, USA l Department of Otorhinolaryngology, University of Porto Medical School - Hospital S. Joao Ctr., CINTESIS, Porto, Portugal m Department of Paediatric Otolaryngology, Sydney Children's Hospital, Randwick, NSW, Australia n Division of Otolaryngology e Head & Neck Surgery, Ann & Robert H. Lurie Children's Hospital, Chicago, IL, USA o Department of ENT, Great Ormond Street Hospital, London, UK c Department of Pediatric Otolaryngology, Children's Hospital Westmead, Sydney, NSW, Australia d Division of Pediatric Otolaryngology, Montreal Children's Hospital, Montreal, QC, Canada

p Department of Otolaryngology, Children's National Hospital, Washington DC, USA q Division of Otolaryngology, Children's Hospital of Philadelphia, Philadelphia, PA, USA

a r t i c l e i n f o

a b s t r a c t

Article history: Received 13 July 2017 Accepted 16 July 2017 Available online 18 July 2017

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 modi fi ed 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. © 2017 Elsevier B.V. All rights reserved.

1. Consensus objectives

To provide recommendations on diagnostic and management considerations for patients presenting with aspiration and type I

* Corresponding author. E-mail address: jeffrey.yeung@childrens.harvard.edu (J.C. Yeung).

http://dx.doi.org/10.1016/j.ijporl.2017.07.016 0165-5876/ © 2017 Elsevier B.V. All rights reserved.

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