Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Stridor: intracranial pathology causing postextubation vocal cord paralysis.

F C Chaten1, S E Lucking, E S Young

  • 1Division of Pediatric Critical Care Medicine, Children's Medical Center, Medical College of Virginia, Richmond.

Pediatrics
|January 1, 1991
PubMed
Summary

Pediatric vocal cord paralysis, often causing stridor after extubation, can result from nerve injury or intracranial pressure. Early laryngeal evaluation is crucial for affected children.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Development and evaluation of the Capability, Opportunity, and Motivation to deliver Physical Activity in School Scale (COM-PASS).

The international journal of behavioral nutrition and physical activity·2024
Same author

The efficient operation of the surgical pathology gross room.

Biotechnic & histochemistry : official publication of the Biological Stain Commission·2008
Same author

The use of the Beck Airway Airflow Monitor for verifying intratracheal endotracheal tube placement in patients in the pediatric emergency department and intensive care unit.

Pediatric emergency care·1996
Same author

Acute challenge ERP as a prognostic of stimulant therapy outcome in attention-deficit hyperactivity disorder.

Biological psychiatry·1995
Same author

Methemoglobin levels during prolonged combined nitroglycerin and sodium nitroprusside infusions in infants after cardiac surgery.

Journal of cardiothoracic and vascular anesthesia·1994
Same author

Atlantooccipital subluxation in a neonate with Down's syndrome. Case report and review of the literature.

Pediatric neurosurgery·1994

Area of Science:

  • Pediatric critical care medicine
  • Otolaryngology
  • Pediatric neurology

Background:

  • Vocal cord paralysis is a serious complication in pediatric intensive care.
  • Stridor upon extubation can indicate vocal cord dysfunction.

Purpose of the Study:

  • To identify the incidence and causes of vocal cord paralysis in pediatric intensive care patients.
  • To evaluate the outcomes of vocal cord paralysis in this population.

Main Methods:

  • Flexible bronchoscopy was used to diagnose vocal cord paralysis in nine pediatric patients over 18 months.
  • Patient data including age, paralysis type, cause, and treatment outcomes were collected.

Main Results:

  • Nine pediatric patients (17 days to 5.5 years) presented with vocal cord paralysis and stridor post-extubation.

Related Experiment Videos

  • Bilateral abductor paralysis (7 patients) frequently required tracheostomy (6/7), while unilateral paralysis (2 patients) did not.
  • Neurologic disorders with increased intracranial pressure were the likely cause in most cases (7/9).
  • Recovery of cord mobility occurred in 4/7 bilateral cases within 4 months; unilateral cases resolved within 1 year.

    • Conclusions:

    • Increased intracranial pressure may cause vagal nerve compression leading to vocal cord paralysis.
    • Early laryngeal visualization is recommended for extubated children with stridor, particularly those with a history of thoracic procedures or neurological conditions associated with intracranial hypertension.