An unusual case of anterior and posterior laryngeal cleft together: combined cleft of larynx

Birkent, Hakan; Durmaz, Abdullah; Karakoc, Omer; Ilica, Turan; Gerek, Mustafa
January 2012
European Archives of Oto-Rhino-Laryngology;Jan2012, Vol. 269 Issue 1, p345
Academic Journal
Congenital clefts of the larynx are rare and usually found dorsally. An anterior or ventral cleft of the larynx is extremely rare. Only a few patients with this defect have been reported in the literature. The purpose of this paper is to present a patient having an anterior and posterior laryngeal cleft together. A 20-year-old man presented with a history of dysphonia since childhood. He did not report symptoms of swallowing or respiration, and had no history of neck trauma. Findings of videolaryngoscopy showed a grossly abnormal larynx. The anterior commissure was wider than normal, and the vocal folds did not show a fusion anteriorly. There was an interarytenoid cleft posteriorly. A neck CT with 3D reconstruction demonstrated a ventral cleft or nonfusion of the thyroid cartilage with a posterior cricoid cleft. Barium swallow study was in normal limits. Since the patient did not have any problem with swallowing or respiration, no surgical intervention was planned, and the patient was put on speech therapy, which revealed improvement in voice. To our knowledge, this is the first case of a combined laryngeal cleft. The diagnosis is established by the clinical symptoms, endoscopic evaluation, and radiographic examinations including 3D and barium studies.


Related Articles

  • Long Term Rehabilitation of a Total Glossectomy Patient. Bachher, Gurmit Kaur; Dholam, Kanchan P. // Journal of Indian Prosthodontic Society (Springer Science & Busi;Sep2010, Vol. 10 Issue 3, p194 

    Malignant tumours of the oral cavity that require resection of the tongue result in severe deficiencies in speech and deglutition. Speech misarticulation leads to loss of speech intelligibility, which can prevent or limit communication. Prosthodontic rehabilitation involves fabrication of a...

  • CASE REPORT: PSYCHOGENIC DYSPHONIA. Bergamini, Marcela; Englert, Marina; Ribeiro, Lívia Lima; Azevedo, Renata // Revista CEFAC;Jan/Feb2015, Vol. 17 Issue 1, p318 

    Psychogenic functional dysphonia is related to psychological aspects. The type of voice, the articulation and the fluency are sensitive to psychological changes. Voice adjusted with falsetto, is a voice with an extremely high pitch and can be observed in cases of psychogenic dysphonia. A...

  • PRACTICE OF SPEECH THERAPY IN CONGENITAL HYDROCEPHALUS WITH VENTRICULOPERITONEAL SHUNT: A CASE REPORT. Thaysse Araújo Muniz, Nayana; de Faria Paiva, Maria Luiza; Inês de Araújo, Lúcia // Revista CEFAC;Jul/Aug2015, Vol. 17 Issue 4, p1350 

    Hydrocephalus is defined as a disorder in the cerebrospinal fluid hydrodynamics with increased intracranial compartment volume, ventricular dilatation and intracranial pressure. The treatment of hydrocephalus is made with the use of valves periventricular (shunt). If not treated, the child with...

  • SPEECH-LANGUAGE CLINICAL PATTERN IN A NEUROGENIC DYSPHAGIA CASE THROUGH OCULO-PHARYNGEAL MUSCULAR DYSTROPHY. Cunha, Karini; Gelatti, Giliane; Cardoso, Maria Cristina // Revista CEFAC;Jul/Aug2015, Vol. 17 Issue 4, p1355 

    The Muscular Dystrophy Oculo-pharyngeal myopathology is a hereditary autosomal dominant, lateonset, with clinical signs of ptosis and oral pharyngeal dysphagia, this may be associated to the proximal muscle weakness. This study examines the speech therapy conduct in a case of oculuspharyngeal...

  • Dysphagia Lusoria. Hart, Phil A.; Kamath, Patrick S. // Mayo Clinic Proceedings;Mar2012, Vol. 87 Issue 3, following pe17 

    The article presents a case study of 42-year-old woman diagnosed with solid dysphagia and having a medical history of hypothyroidism, bilateral thumb surgery, and an appendectomy.

  • MBS Determines Treatment, Improves Patient Outcomes.  // ASHA Leader;12/05/2000, Vol. 5 Issue 23, p5 

    Discusses several cases on how speech-language pathologists used the modified barium swallow (MBS) to determine dysphagia treatment. How the MBS treatment improved the quality of life of the patients.

  • THERAPEUTIC INTERVENTION AND FAMILY ACCEPTANCE IN A CASE OF CHILD WITH CEREBRAL PALSY. de Oliveira, Luciana; do Nascimento, Weslania Viviane; Dantas, Roberto Oliveira; Valarelli, Liciane Pinelli; Caldas, Carla Andrea C. Tanuri // Revista CEFAC;Jan/Feb2015, Vol. 17 Issue 1, p286 

    Our objective was to describe the case of a 5-year-old child with chronic non-progressive encephalopathy and dysphagia since birth. In videofluoroscopy, aspiration was observed with liquid barium, but not with paste barium. Gastrostomy for feeding and fluid intake was indicated. The family did...

  • Corticosteroid-resistant bulbar neurosarcoidosis responsive to intravenous immunoglobulin. Shenoy, Niraj; Tesfaye, Melaku; Brown, Joshua; Simmons, Nichelle; Weiss, Deborah; Meholli, Mimoza; Mabie, Peter // Practical Neurology;Aug2015, Vol. 15 Issue 4, p289 

    We report an intriguing case of corticosteroidresistant bulbar neurosarcoidosis responding to intravenous immunoglobulin. A 37-year-old man presented with dysphagia to solids and liquids, dysphonia, fatigue and 50 lb weight loss over 2 months. We suspected sarcoidosis, based on an elevated serum...

  • Flupentixol.  // Reactions Weekly;12/18/2010, Issue 1332, p21 

    The article describes the case of a 61-year-old man who developed tardive dystonia, presenting as dysphagia, during treatment with flupentixol for short-term treatment of nonspecific somatic complaints.


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics