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Type I laryngeal cleft: late presentation.

M Thornton1, H Rowley, B J Conlon

  • 1Department of Otolaryngology--Head and Neck Surgery, Mater Miseriacordiae Hospital, Dublin, Ireland. monathornton@hotmail.com

The Journal of Laryngology and Otology
|October 23, 2001
PubMed
Summary
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Congenital laryngeal clefts, rare posterior airway defects, can present subtly. This case highlights a type I cleft diagnosed at 19, emphasizing diagnosis into adulthood and the role of reflux.

Area of Science:

  • Pediatric Pulmonology
  • Congenital Airway Malformations
  • Gastroenterology

Background:

  • Laryngeal cleft anomalies are rare congenital defects affecting the posterior laryngotracheal wall.
  • Typically, these anomalies present in the neonatal period with recurrent respiratory infections.
  • Type I clefts, in particular, can have subtle presentations leading to delayed diagnosis.

Observation:

  • A case of a type I laryngeal cleft is presented in a 19-year-old patient.
  • The patient exhibited a history of recurrent lower respiratory tract infections.
  • Severe gastro-oesophageal reflux disease was also a significant comorbidity.

Findings:

  • This represents the oldest documented initial presentation of a congenital laryngeal cleft.

Related Experiment Videos

  • The findings underscore that laryngeal clefts may not present until early adulthood.
  • Gastro-oesophageal reflux disease appears to play a crucial role in the manifestation of laryngeal clefts.

    • Implications:

    • Clinicians should maintain a high index of suspicion for laryngeal clefts, even in young adults.
    • Late diagnosis of laryngeal clefts can occur, necessitating continued vigilance.
    • Understanding the link between gastro-oesophageal reflux disease and laryngeal clefts is vital for accurate diagnosis and management.