{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,19]],"date-time":"2026-04-19T19:11:51Z","timestamp":1776625911710,"version":"3.51.2"},"reference-count":28,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2014,11,5]],"date-time":"2014-11-05T00:00:00Z","timestamp":1415145600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2015,1]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>To report the perioperative management and surgical outcomes in a large series of pediatric patients with endoscopically repaired type 1 posterior laryngeal cleft (PLC).<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Case series with chart review.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Urban, tertiary care, free\u2010standing pediatric hospital.<\/jats:p><\/jats:sec><jats:sec><jats:title>Subjects and Methods<\/jats:title><jats:p>Patients who underwent endoscopic carbon dioxide laser\u2013assisted repair of type 1 posterior laryngeal clefts between January 2006 and December 2012. Medical records were reviewed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Fifty\u2010four patients (34\u00a0male) underwent repair of type 1\u00a0PLC. Median age was 25.5\u00a0months (range, 2\u2010120\u00a0months). Indications for repair included aspiration (n = 39; 72%), chronic bronchitis (n = 13; 24%), and stridor with feeds (n = 2; 4%). No children remained intubated postoperatively. Thirty\u2010three patients (61%) stayed in overnight observation (\u201cObs PLC\u201d) and 21 patients (39%) stayed in the pediatric intensive care unit (\u201cPICU PLC\u201d) postoperatively. Between Obs PLC and PICU PLC groups, there was no significant difference in age (mean 22 vs 30\u00a0months, respectively; <jats:italic>P<\/jats:italic> =. 28). Comorbidities were similar between the groups. Symptoms improved in 41 of the 54 patients (76%). No postoperative complications were noted. Two patients required revision PLC repair. The cost of admitting a patient to a lower acuity location was estimated to be 60% less per day than cost of a PICU admission.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The endoscopic surgical repair of a type 1\u00a0PLC is successful and has a low morbidity and complication rate. Patients may be safely managed in an observation unit and without postoperative intubation. This approach achieved a marked cost reduction in postoperative care.<\/jats:p><\/jats:sec>","DOI":"10.1177\/0194599814556068","type":"journal-article","created":{"date-parts":[[2014,11,7]],"date-time":"2014-11-07T03:00:53Z","timestamp":1415329253000},"page":"153-158","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":23,"title":["Postoperative Observation of Children after Endoscopic Type 1\u00a0Posterior Laryngeal Cleft Repair"],"prefix":"10.1002","volume":"152","author":[{"given":"Nathan S.","family":"Alexander","sequence":"first","affiliation":[{"name":"Ann and Robert H. Lurie Children's Hospital of Chicago Division of Otolaryngology\u2013Head and Neck Surgery Chicago Illinois USA"},{"name":"Northwestern University Feinberg School of Medicine Chicago Illinois USA"},{"name":"Division of Otolaryngology\u2013Head and Neck Surgery Department of Surgery Greenville Health System Greenville South Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Judy Z.","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery University of Illinois at Chicago Chicago Illinois USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bharat","family":"Bhushan","sequence":"additional","affiliation":[{"name":"Ann and Robert H. 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