TY - CHAP M1 - Book, Section TI - Posterior Laryngeal Cleft A1 - Rutter, Michael J. A1 - Azizkhan, Richard G. A2 - Ziegler, Moritz M. A2 - Azizkhan, Richard G. A2 - Allmen, Daniel von A2 - Weber, Thomas R. PY - 2014 T2 - Operative Pediatric Surgery, 2e AB - Most type 1 and type II clefts can be repaired endoscopically.When open cleft repair is required, a transtracheal approach with a layered closure is recommended.When there is a higher risk of repair breakdown, an interposition graft is recommended.Before embarking on cleft repair, consideration should be given to: (a) placement of a gastrostomy tube; (b) fundoplication; and (c) performing a tracheotomy.Type IV clefts that involve the carina require a highly individualized approach.Even in the presence of optimal intervention, morbidity and mortality rates remain high. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/28 UR - accesspediatrics.mhmedical.com/content.aspx?aid=1100432848 ER -