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Bilateral vocal cord paralysis in children
Eunice Y Chen1, Andrew F Inglis
1Division of Pediatric Otolaryngology-Head and Neck Surgery, Children's Hospital and Regional Medical Center, University of Washington, Seattle, WA 98105, USA.
Otolaryngologic Clinics of North America
|September 9, 2008
Summary
Bilateral vocal cord paralysis in children is challenging. This review focuses on surgical options, including the endoscopic posterior costal cartilage grafting procedure for pediatric patients.
Area of Science:
- Pediatric Otolaryngology
- Laryngeal Surgery
- Pediatric Airway Management
Background:
- Bilateral vocal cord paralysis in children poses significant management challenges for pediatric otolaryngologists.
- Traditional management involves tracheotomy and observation for spontaneous recovery, often with suboptimal outcomes.
- Various surgical interventions have been explored, but a universally effective solution remains elusive.
Purpose of the Study:
- To review current surgical procedures for pediatric bilateral vocal cord paralysis.
- To highlight the senior author's experience with endoscopic posterior costal cartilage grafting.
- To provide insights into managing this complex pediatric airway condition.
Main Methods:
- Review of existing literature on surgical management of pediatric bilateral vocal cord paralysis.
- Detailed description and analysis of the endoscopic posterior costal cartilage grafting technique.
- Discussion of surgical outcomes and considerations based on clinical experience.
Main Results:
- The article synthesizes various surgical approaches for pediatric vocal cord paralysis.
- The endoscopic posterior costal cartilage grafting procedure is presented as a viable surgical option.
- Outcomes and limitations of different surgical techniques are discussed.
Conclusions:
- Pediatric bilateral vocal cord paralysis requires tailored surgical management strategies.
- Endoscopic posterior costal cartilage grafting offers a promising approach for airway restoration.
- Further research and experience sharing are crucial for optimizing treatment outcomes.
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