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Laryngeal cleft type I in neonate: case report
Mirella Spinoso Rossi1, Karina Elena Bernardis Buhler1, Gabriel Alberto Brasil Ventura1
1University Hospital, Universidade de São Paulo - USP, São Paulo, SP, Brazil.
Codas
|November 13, 2014
Summary
This study details a speech-language pathologist
Area of Science:
- Pediatric Otolaryngology
- Speech-Language Pathology
- Congenital Malformations
Background:
- Laryngeal cleft (LC) is a rare congenital anomaly causing abnormal communication between the esophagus and the airway.
- While typically affecting males, this case focuses on a female newborn with LC Type I.
Observation:
- A female newborn presented with failure to thrive and pneumonia, exhibiting frequent gagging during swallowing.
- Videofluoroscopy revealed severe laryngotracheal aspiration of thin liquids (PAS 8) but not thickened liquids (PAS 1).
Findings:
- Microlaryngoscopy confirmed LC Type I.
- Speech-language pathology intervention with thickened liquids (6%) led to successful oral feeding and discharge within 8 days.
- Long-term follow-up demonstrated successful reintroduction of thin liquids and normal development without respiratory issues.
Implications:
- Early speech-language pathology intervention is crucial for managing feeding difficulties in infants with laryngeal cleft.
- Thickened liquids can be an effective initial strategy to prevent aspiration and enable oral feeding.
- This case highlights the potential for successful long-term outcomes with appropriate management of laryngeal cleft.
