Pediatric Airway Disorders

Laryngotracheal Cleft Repair (Open Approach)

The more severe forms of laryngotracheal clefts, grades 3 and 4, must be repaired through an open incision in the neck to perform a double-layer closure of the defect. This may be done on either ECMO or cardiopulmonary bypass depending on the child's case and the preference of the surgeon.

The major purpose of the surgical repair is to separate the airway from the esophagus in order to prevent aspiration. This occasionally requires the placement of a tracheostomy tube to provide a safe airway for the child.

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