Laryngeal cleft: Diagnosis and endoscopic surgical treatment. Report of 2 cases.

A 14 month male patient with a background of unilateral right canal stenosis, enteral nutrition through percutaneous endoscopic gastrostomy (PEG) due to dysphagia from weaning, hospital admittance for bronchopneumonia, dysphoric crying, coughing after swallowing, and asphyctic episodes was referred to our hospital for study and treatment. Examination revealed small low inward facing auricles, a narrow auditory canal, a palmiped uvula and wide nasal bridge. A nasopharynx and laryngeal tracheoscopy and rigid laryngoscopy were performed to examine the aerodigestive tract and these revealed an excess of protruding mucosa (Fig. 1) in both arytenoids which deposited an interarytenoid solution that impeded posterior laryngeal closure without cutting across the glottis plane. Evaluation was completed with a