Andrieu-Guitrancourt J, Narcy P, Desnos J, Bobin S, Dehesdin D, Dubin J
Chir Pediatr. 1984;25(4-5):219-27.
Laryngeal diastema or laryngeal or posterior laryngotracheal cleft is a rare congenital malformation producing an aerodigestive communication of abnormal location which leads to severe or even fatal respiratory and infective complications. Findings in 16 cases are presented and the characteristics and particular problems of treatment of this malformation discussed. Diagnosis is presently based on results of microlaryngoscopic examination. Details are given of therapy of the commonest forms of the affection (cricoidal and upper cricotracheal), operations being performed in 9 such cases, and the place and course of forms limited to the interarytenoidal space discussed. Frequency and effect on prognosis of associated malformation are outlined. Considerable improvement has been obtained in the postoperative prognosis of cricoidal (I) and upper cricotracheal (II) forms during the last few years, and these forms must now be considered as curable.
喉裂或喉后气管裂是一种罕见的先天性畸形，会形成异常位置的气道与消化道相通，从而导致严重甚至致命的呼吸和感染并发症。本文介绍了16例病例的研究结果，并讨论了这种畸形的特征和治疗中的特殊问题。目前诊断基于显微喉镜检查结果。文中详细阐述了最常见类型（环状软骨和上环状气管型）的治疗方法，9例此类病例接受了手术治疗，还讨论了局限于杓间区的类型的位置和病程。概述了相关畸形的发生率及其对预后的影响。在过去几年中，环状软骨（I型）和上环状气管（II型）的术后预后有了显著改善，现在这些类型可被视为可治愈的。
