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Rahbar R et al. - Medical and feeding therapy should be the first modality of treatment in patients with laryngeal cleft type I and type II. Factors supporting surgical repair include: clinically apparent aspiration with feeding, severity of pulmonary status, findings on modified barium swallow and chest x-ray, absence of significant comorbid conditions predisposing to aspiration, findings on upper aerodigestive endoscopy, and poor response to medical management and feeding therapy.


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