On the issue concerning diagnosis of the posterior laryngeal cleft in a newborn with multiple congenital anomalies

Abstract

V.I. Petrova1, A.V. Dmitriev1,2, N.V. Fedina1, A.L. Zaplatnikov2 1I.P. Pavlov Ryazan State Medical University, Ryazan, Russian Federation 2Russian Medical Academy of Continuous Professional Education, Moscow, Russian Federation The article describes a rare congenital anomaly — laryngeal cleft in a newborn. Laryngeal anomaly occurs with a frequency of 1 per 10–20 thousand newborns. There are 4 types depending on the lesion depth and tracheoesophageal fistula presence. Clinical manifestations are characterized by diverse nonspecific symptoms in the form of dysphagia, cough, aspiration, stridor. Condition severity is determined by the anomaly depth and degree, as well as concomitant somatic and neurological child pathology. There is no prenatal diagnosis. The gold standard of diagnostics is videolaryngoscopy, in which a doctor can study in detail the structure of the laryngeal cartilage and vocal cords from any angle, and, if necessary, take photos and videos. Medical and surgical treatment of the laryngeal cleft is quite complicated and depends on the cleft type and size, concomitant pathology, as well as the condition of the child. The article presents a clinical case of a type III laryngeal cleft in a newborn with multiple congenital anomalies, and a diagnostic search for a cleft. An infant at the age of 7 months underwent the endoscopic suturing of this defect, which allowed restoring enteral nutrition and normalizing the child nutritional status. Keywords: dysphagia, laryngeal cleft, congenital anomalies, newborn, diagnosis, endoscopic correction. For citation: Petrova V.I., Dmitriev A.V., Fedina N.V., Zaplatnikov A.L. On the issue concerning diagnosis of the posterior laryngeal cleft in a newborn with multiple congenital anomalies. Russian Journal of Woman and Child Health. 2023;6(4):433–437 (in Russ.). DOI: 10.32364/2618-8430-2023-6-4-17.