Endoscopic view of a type 4 laryngeal cleft

Type 4 laryngeal clefts involve a major portion of the intrathoracic tracheoesophageal wall. In this image, the endotracheal tube is displaced into the laryngeal cleft.

Courtesy of Glenn C Isaacson, MD, FAAP, FACS.

Graphic 67712 Version 2.0