674 A Rare Cause of Dysphagia in an Adult: Laryngeal Cleft, a Case Report from a Tertiary Care Centre

Abstract Introduction Laryngeal cleft is a rare congenital anomaly where the laryngotracheal wall fails to fuse posteriorly resulting in gap. Embryologically, larynx develops from IV and VI branchial arches separated foregut by trachea-esophageal septum, which closes caudal cranial end. Symptoms can vary, depending on these fusion arrests, none mild cases aspiration, recurrent pneumonia, dysphagia, hoarseness of voice severe. The condition almost always detected childhood rarely diagnosed adults. Method We present case 41-year-old male with dysphagia choking episodes, having previously been treated for palate as child alongside literature review such published cases. Results A developed swallowing problems episodes background had successful repair type 3 childhood. He underwent video fluoroscopy demonstrated evidence aspiration. subsequently diagnostic microlaryngoscopy, disclosed III laryngeal cleft. was surgically open repair, following postoperative fibreoptic endoscopic evaluation strong swallow. discharged home resumption his baseline diet. Conclusion clefts adults are very be successfully surgically. report showcases still adult life late failure (breakdown) need awareness about disorder. revealed few reported current literature.