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BackTable / ENT / Podcast / Episode #169

Navigating Type I Laryngeal Clefts in Children

with Dr. Hamdy El-Hakim

In this episode, Dr. Hamdy El-Hakim, pediatric airway surgeon and Associate Professor at the University of Alberta, joins host Dr. Gopi Shah to review laryngeal clefts in children.

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Navigating Type I Laryngeal Clefts in Children with Dr. Hamdy El-Hakim on the BackTable ENT Podcast)
Ep 169 Navigating Type I Laryngeal Clefts in Children with Dr. Hamdy El-Hakim
00:00 / 01:04

BackTable, LLC (Producer). (2024, April 30). Ep. 169 – Navigating Type I Laryngeal Clefts in Children [Audio podcast]. Retrieved from https://www.backtable.com

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Podcast Contributors

Dr. Hamdy El-Hakim discusses Navigating Type I Laryngeal Clefts in Children on the BackTable 169 Podcast

Dr. Hamdy El-Hakim

Dr. Hamdy El-Hakim is the director of pediatric otolaryngology fellowship at the University of Alberta in Canada.

Dr. Gopi Shah discusses Navigating Type I Laryngeal Clefts in Children on the BackTable 169 Podcast

Dr. Gopi Shah

Dr. Gopi Shah is a practicing ENT at UT Southwestern Medical Center in Dallas, TX.

Synopsis

First, Dr. El-Hakim describes the presentation of laryngeal clefts. Affected children have coughing fits bad enough to cause watery eyes and “blue spells.” These fits are sometimes misattributed to other airway abnormalities or GERD. Then, discussion shifts to the workup of laryngeal clefts. All patients with a suspected laryngeal cleft need a comprehensive physical exam, a risk factor assessment and a swallow assessment, most commonly a FEES. Many patients will also require a diagnostic laryngoscopy with bronchoscopy (DLB). Dr. El-Hakim advises listeners on performing this test in children. Treatment of laryngeal clefts include thickened feeds, injection laryngoplasty, or surgical repair. Finally, Dr. El-Hakim advises listeners on compassionate care for families living with this condition.

Timestamps

00:00 - Introduction
03:39 - Laryngeal Clefts in Children: Diagnosis & Classification
06:36 - Presentation of Laryngeal Cleft
12:07 - Risk Factors & Associated Conditions
21:38 - Physical Examination Insights and Diagnostic Approaches
30:15 - The Role of FEES and Modified Barium Swallow in Diagnosis
37:37 - Navigating Pediatric Swallowing Disorders: Strategies and Challenges
41:12 - The Complexities of Diagnosing & Treating Laryngeal Cleft
45:28 - Surgical Techniques & Postoperative Care
01:03:13 - Evaluating Success Post-Surgery
01:09:20 - Final Thoughts: The Impact of Pediatric Dysphagia on Families

Resources

Dr. Hamdy El-Hakim’s University of Alberta Profile:
https://www.ualberta.ca/airway-research/iarc-team/hamdy-el-hakim.html

Article demonstrating superiority of cold steel relative to laser in type I laryngeal cleft repair:
https://pubmed.ncbi.nlm.nih.gov/34184769/

Disclaimer: The Materials available on BackTable.com are for informational and educational purposes only and are not a substitute for the professional judgment of a healthcare professional in diagnosing and treating patients. The opinions expressed by participants of the BackTable Podcast belong solely to the participants, and do not necessarily reflect the views of BackTable.

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