September 2019 HSC Section 1 Congenital and Pediatric Problems

J.C. Yeung et al. / International Journal of Pediatric Otorhinolaryngology 101 (2017) 51 e 56

For patients successfully treated with interarytenoid injection, the recurrence of aspiration can be treated with serial injection or de fi nitive repair. Both options are viable and the risks and bene fi ts of each should be discussed with the patient's family. Fifty percent of members (4/8) will proceed with de fi nitive endoscopic repair, while the remaining 50% (4/8) offer either repeat injection or de fi nitive repair. In the case of treatment failure and persistent aspiration, the majority (75%, 15/20) will arrange a repeat DLB within 3 months of initial surgery to evaluate the repair. Twenty- fi ve percent will wait 6 months prior to repeat DLB.

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Con fl ict of interest

The authors have no con fl icts of interest relevant to this article to disclose.

Acknowledgements

Drs. Reza Rahbar (senior author) and Jeffrey Yeung ( fi rst author) were the lead authors. All remaining authors are listed in alpha- betical order. The authorship list follows the agreement of the members of the IPOG. All authors have contributed to the conception and design of the work, drafting and revising the consensus recommendations for important intellectual content, fi nal approval of the version to be published, and agreement to be accountable for all aspects of the work. [1] R. Jaeschke, G.H. Guyatt, P. Dellinger, H. Schünemann, M.M. Levy, R. Kunz, et al., Use of GRADE grid to reach decisions on clinical practice guidelines when consensus is elusive, Bmj 337 (2008), http://dx.doi.org/10.1136/bmj.a744 a744 e a744. [2] B. Benjamin, A. Inglis, Minor congenital laryngeal clefts: diagnosis and clas- si fi cation, Ann. Otol. Rhinol. Laryngol. 98 (1989) 417 e 420, http://dx.doi.org/ 10.1177/000348948909800603 . [3] R. Rahbar, I. Rouillon, G. Roger, A. Lin, R.C. Nuss, F. Denoyelle, et al., The presentation and management of laryngeal cleft: a 10-year experience, Arch. Otolaryngol. Head. Neck Surg. 132 (2006) 1335 e 1341, http://dx.doi.org/ 10.1001/archotol.132.12.1335 . [4] J.E. Strychowsky, P. Dodrill, E. Moritz, J. Perez, R. Rahbar, Swallowing dysfunction among patients with laryngeal cleft: more than just aspiration? Int. J. Pediatr. Otorhinolaryngol. 82 (2016) 38 e 42, http://dx.doi.org/10.1016/ References

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