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Osborn AJ, de Alarcon A, Tabangin ME, et al. Swallowing function after laryngeal cleft
repair: more than just fixing the cleft.
Laryngoscope
. 2014; 124(8):1965-1969. EBM
level 4...........................................................................................................................16-20
Summary: This retrospective review of swallowing outcomes after laryngeal cleft
repair provides a detailed postoperative characterization using a validated
swallowing scale applied to video fluoroscopic and video endoscopic swallowing
examinations. The authors conclude that most children achieve resolution of
dysphagia or require minimal dietary modification while a subset of children with
developmental disorders is at increased risk for persistent dysphagia. This data is
important given the increasing recognition of laryngeal cleft as a cause of dysphagia.
Rogers DJ, Setlur J, Raol N, et al. Evaluation of true vocal fold growth as a function of
age.
Otolaryngol Head Neck Surg
. 2014; 151(4):681-686. EBM level 4.................21-26
Summary: This article provides an
in vivo
evaluation of vocal fold length as a
function of age and gender. The authors found that vocal fold length increases
linearly as a function of age with no difference between genders. Ultimately, the
study concludes that the critical developmental vocal changes that occur during
adolescence are not attributable to vocal fold length differences.
II.
Craniofacial Abnormalities and Trauma
Boyette JR. Facial fractures in children.
Otolaryngol Clin North Am
. 2014; 47(5):747-
761. EBM level 5.........................................................................................................27-41
Summary: This articles provides an overview of the unique aspects of diagnosis and
management of facial fractures in children. Because of their growing facial
skeletons, facial fractures in children can present differently than in adults, and
potential surgical treatments must be appropriately modified based on the patient’s
age. Different facial subsites are reviewed in detail, and the article provides a
current protocol for managing pediatric facial fractures. In addition, long-term
awareness of facial growth changes must be considered in this patient population.
Lam DJ, Tabangin ME, Shikary TA, et al. Outcomes of mandibular distraction
osteogenesis in the treatment of severe micrognathia.
JAMA Otolaryngol Head Neck
Surg
. 2014; 140(4):338-345. EBM level 3.................................................................42-49
Summary: Children with severe micrognathia are often afflicted with upper airway
obstruction, and management is both difficult and controversial. This article reviews
the outcomes of mandibular distraction osteogenesis, both with and without
preexisting tracheotomy, in a study of 123 patients with severe micrognathia who
underwent mandibular distraction and examines the long-term success rates with
each approach. In addition, specific patient populations are examined for their
success rates.