Making the case for multidisciplinary pediatric aerodigestive programs

Figure 1 Endoscopic assessment and management for a laryngeal cleft which can contribute to aspiration. A: Probing of interaytenoid region to assess for cleft; B: Post laryngeal cleft repair using laser and suturing.

Figure 2 Endoscopic grading of subglottic stenosis. A: Grade I: 0%-50% obstruction; B: Grade II: 51%-70% obstruction; C: Grade III: 71%-99%; D: Grade IV: No detectable lumen.

Figure 3 Fluoroscopic esophageal evaluation in high-risk patients. Esophagram in 10-month-old with repaired esophageal atresia presenting with feeding difficulty and poor growth, showing previously unrecognized distal esophageal congenital stricture (black arrow), far below the surgical repair site (white arrow).

Figure 4 Simultaneous tracheal and esophageal endoscopy in a patient with history of esophageal atresia to assess for persistent tracheoesophageal fistula.