• Gabriel Hernández, Francis D Beauchamp-Pérez, and Carlos González-Aquino.
• University of Puerto Rico, Medical Sciences Campus, School of Medicine, Department of Otolaryngology- Head and Neck Surgery, G.P.O. Box 365067, San Juan 00936-5067, Puerto Rico. Electronic address: gabriel.hernandez7@upr.edu.
• Int. J. Pediatr. Otorhinolaryngol. 2018 Jun 1; 109: 154-157.

AbstractLaryngotracheoesophageal cleft is a rare congenital malformation where a communication exists between the aero-digestive tracts that is associated with high morbidity and mortality. In this case series, we describe our experience with two neonates evaluated in our institution with two diverse initial presentations and symptomatology of type IV laryngotracheoesophageal clefts. One patient presented with acute distress and respiratory failure due to bowel contents obstructing the trachea and the other presented with mild subcostal retractions and inspiratory stridor without overt respiratory failure. Most importantly, not every patient with type IV laryngotracheoesophageal clefts will present with fulminant respiratory difficulty. This prompted a literature review.Copyright © 2018. Published by Elsevier B.V.

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