{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T03:19:15Z","timestamp":1783999155495,"version":"3.55.0"},"reference-count":15,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2018,10,16]],"date-time":"2018-10-16T00:00:00Z","timestamp":1539648000000},"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":[[2019,3]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>While the Benjamin\u2010Inglis classification system is widely used to categorize laryngeal clefts, it does not clearly differentiate a type 1 cleft from normal anatomy, and there is no widely accepted or validated protocol for systematically evaluating interarytenoid mucosal height. We sought to propose the interarytenoid assessment protocol as a method to standardize the description of the interarytenoid anatomy and to test its reliability.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Retrospective review of endoscopic videos.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Pediatric academic center.<\/jats:p><\/jats:sec><jats:sec><jats:title>Subjects and Methods<\/jats:title><jats:p>The interarytenoid assessment protocol comprises 4 steps for evaluation of the interarytenoid region relative to known anatomic landmarks in the supraglottis, glottis, and subglottis. Thirty consecutively selected videos of the protocol were reviewed by 4 otolaryngologists. The raters were blinded to identifying information, and the video order was randomized for each review. We assessed protocol completion times and calculated Cohen's linear\u2010weighted \u03ba coefficient between blinded expert raters and with the operating surgeon to evaluate interrater\/intrarater reliability.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Median age was 4.9 years (59\u00a0months; range, 1\u00a0month to 20 years). Median completion time was 144\u00a0seconds. Interrater and intrarater reliability showed substantial agreement (interrater \u03ba = 0.71 [95% confidence interval (CI), 0.55\u20100.87]; intrarater mean \u03ba = 0.70 [95% CI, 0.59\u20100.92\/rater 1, 0.47\u20100.85\/rater 2]; <jats:italic>P<\/jats:italic> &lt;. 001). Comparing raters to the operating surgeon demonstrated substantial agreement (mean \u03ba = 0.62; 95% CI, 0.31\u20100.79\/rater 1, 0.48\u20100.89\/rater 2; <jats:italic>P<\/jats:italic> &lt;. 001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The interarytenoid assessment protocol appears reliable in describing interarytenoid anatomy. Rapid completion times and substantial interrater\/intrarater reliability were demonstrated. Incorporation of this protocol may provide important steps toward improved standardization in the anatomic description of the interarytenoid region in pediatric dysphagia.<\/jats:p><\/jats:sec>","DOI":"10.1177\/0194599818806283","type":"journal-article","created":{"date-parts":[[2018,10,16]],"date-time":"2018-10-16T04:54:17Z","timestamp":1539665657000},"page":"533-539","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":22,"title":["Standardizing Laryngeal Cleft Evaluations: Reliability of the Interarytenoid Assessment Protocol"],"prefix":"10.1002","volume":"160","author":[{"given":"Steven","family":"Coppess","sequence":"first","affiliation":[{"name":"University of Washington School of Medicine University of Washington Seattle Washington USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Reema","family":"Padia","sequence":"additional","affiliation":[{"name":"Division of Pediatric Otolaryngology\u2013Head and Neck 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