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Congenital bilateral vocal cord paralysis.
A L Hasniah1, K Asiah, D Mariana
1Respiratory Unit, Paediatric Institute, Hospital Kuala Lumpur.
The Medical Journal of Malaysia
|July 13, 2007
Summary
Bilateral vocal cord paralysis is a significant cause of neonatal respiratory distress and failure to wean from support. This case series reviews management strategies for pediatric patients with this rare congenital airway obstruction.
Area of Science:
- Pediatric Pulmonology
- Neonatal Medicine
- Otolaryngology
Background:
- Congenital upper airway obstruction presents significant respiratory challenges in neonates.
- Bilateral vocal fold paralysis is the second leading cause of congenital airway obstruction, often leading to difficulties in respiratory support weaning.
Purpose of the Study:
- To present a case series on the management of bilateral vocal cord paralysis in pediatric patients.
- To emphasize clinical presentations, associated complications, and airway abnormalities in affected neonates.
Main Methods:
- Retrospective analysis of medical records for pediatric patients diagnosed with bilateral vocal fold paralysis.
- Diagnostic confirmation using flexible and/or rigid bronchoscopy.
Main Results:
- Seven pediatric patients diagnosed with bilateral vocal fold paralysis over three years.
- Five of these cases were recent diagnoses, highlighting ongoing incidence.
- The study focused on clinical features, complications, and associated upper and lower airway anomalies.
Conclusions:
- Bilateral vocal cord paralysis requires careful management in pediatric populations.
- Understanding associated airway issues is crucial for effective treatment and improved outcomes.
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