Journal of the Korean Pediatric Society 1993;36(7):1016-1024.
Published online July 15, 1993.
A Case of Laryngeal Cleft
Yong Sik Min1, Hye Kyu1, Jun Soo Park1, Dong Hwan Lee1, Sang Jhoo Lee1, Hyun Sook Hong2
1Department of Pediatrics, College of Medicine, Soonchunhyang University, Seoul, Korea
2Department of Radiology, College of Medicine, Soonchunhyang University, Seoul, Korea
후두열(Laryngeal Cleft) 1례
민용식1, 이혜경1, 박준수1, 이동환1, 이상주1, 홍현숙2
1순천향대학교 의과대학 소아과학교실
2순천향대학교 의과대학 방사선과학교실
Abstract
Laryngotracheoesophageal cleft is a rare congenital anomaly characterized by a midline defect of variable length between the posterior larynx and trachea and the anterior wall of the esophagus which was first reported by Richter in 1792. The male, birth weight 2780 gm, was born our hospital. After birth the infant breathed spontaneously, cried immediately but weak and did well initially but after minutes appeared moderate amount of mucus in the mouth, and sterile water was given but immediately vomited with chocking, cough and cyanosis. A nasogastric tube was inserted through the esophagus without resistance and kinking. Esophagogram was showed spillage of contrast media simultaneously into trachea and esophagus. In direct laryngoscopy, there appeared to be small laryngeal cleft posteriorly, to the level of vocal cord. But bronchoscopy could not be performed due to narrow tracheal orifice. So we confirmed the laryngeal cleft b means of CT and MRI of neck. CT and MRI scan of neck demonstrated a cleft in interarytenoid lesion and connection between esophagus and laryngeal lumen.
Key Words: Laryngeal cleft, Laryngotracheoesophageal cleft, Laryngeal CT and MRI, Gastrostomy


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