Armitage E N
Anaesthesia. 1984 Jul;39(7):706-13. doi: 10.1111/j.1365-2044.1984.tb06482.x.
The clinical presentation of cleft larynx is described in a mother, and her first-born child, and in a third, unrelated child. The symptoms vary with the anatomical severity of the cleft, but may closely resemble those of H-type tracheo-oesophageal fistula. Modifications to Pettersson's classification of the condition are suggested. These allow more precise definition of the milder cases in which surgery carries a reasonable prognosis. The accuracy of clinical diagnosis, especially at laryngoscopy, has been disappointing. The importance of probing the posterior wall of the larynx at direct laryngoscopy is emphasised, since the larynx may appear normal even when an extensive cleft is present.
本文描述了一位母亲及其头胎子女以及另一名无关儿童的喉裂临床表现。症状因喉裂的解剖严重程度而异，但可能与H型气管食管瘘的症状极为相似。文中提出了对佩特松（Pettersson）病症分类的修改建议。这些修改建议能更精确地定义病情较轻、手术预后合理的病例。临床诊断的准确性，尤其是喉镜检查时的准确性，一直不尽人意。强调了在直接喉镜检查时探查喉后壁的重要性，因为即使存在广泛的喉裂，喉部外观可能仍属正常。
