Wu Z B, Li L
Department of Otorhinolaryngology, Shenzhen Children's Hospital, Shenzhen, Guangdong 518026, China.
Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2018 Sep 7;53(9):714-717. doi: 10.3760/cma.j.issn.1673-0860.2018.09.019.
Laryngeal clefts as exceptionally rare congenital anomalies have been reported more and more recently. The clinical symptoms and presentations base on degree of clefts and variety of comorbidities. Mild types of clefts may have minimal clinical impact, whereas severe types may be life-threatening and even lead to death before diagnosis. With more attention of these anomalies and advances in endoscopy, the diagnosis, evaluation and surgery of laryngeal clefts have acquired great improvement, especially International Pediatric Otolaryngology Group(IPOG)have reported consensus guidelines on the diagnosis and management of type Ⅰ laryngeal clefts in 2017. This review of laryngeal clefts may be beneficial to decrease missed diagnosis or misdiagnosis and to achieve individual-based treatment.
喉裂作为一种极其罕见的先天性畸形,近年来报道越来越多。临床症状和表现取决于喉裂的程度及合并症的种类。轻度喉裂可能对临床影响极小,而重度喉裂可能危及生命,甚至在诊断前导致死亡。随着对这些畸形的更多关注以及内镜技术的进步,喉裂的诊断、评估和手术取得了很大进展,特别是国际小儿耳鼻咽喉科组织(IPOG)在2017年发布了关于Ⅰ型喉裂诊断和管理的共识指南。这篇关于喉裂的综述可能有助于减少漏诊或误诊,并实现个体化治疗。