Cohen S R, Thompson J W
Department of Surgery, Childrens Hospital of Los Angeles, California.
Ann Otol Rhinol Laryngol. 1990 Apr;99(4 Pt 1):281-5. doi: 10.1177/000348949009900406.
An anterior cleft of the larynx is apparently extremely rare. Only two patients with this defect have been reported in the American literature. The purpose of this paper is to present a child who was aphonic at birth and who was later found to have a congenital anterior cleft of the larynx. The diagnosis is established by the clinical symptoms, direct laryngoscopic examination, and radiographic studies. While severe voice change is the most prominent symptom of this defect, chronic aspiration is also a disquieting symptom, albeit controllable. The literature is reviewed, and the patient's symptoms and radiographic findings are documented. The clinical course over a period of almost 4 years is discussed.
喉前裂显然极为罕见。美国文献中仅报道过两名患有这种缺陷的患者。本文的目的是介绍一名出生时失声、后来被发现患有先天性喉前裂的儿童。诊断通过临床症状、直接喉镜检查和影像学研究来确立。虽然严重的声音改变是这种缺陷最突出的症状,但慢性误吸也是一个令人不安的症状,尽管是可控的。本文对相关文献进行了综述,并记录了患者的症状和影像学检查结果。还讨论了近4年的临床病程。