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Related Experiment Videos

Vocal cord paralysis in children.

D F Rosin1, S D Handler, W P Potsic

  • 1Division of Otolaryngology, Children's Hospital of Philadelphia, PA 19104.

The Laryngoscope
|November 1, 1990
PubMed
Summary

Bilateral vocal cord paralysis, a common cause of infant stridor, differs significantly from adults. This study reviews 51 pediatric cases, emphasizing flexible endoscopic evaluation and conservative management for vocal cord paralysis.

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Area of Science:

  • Pediatric Otolaryngology
  • Pediatric Pulmonology
  • Pediatric Neurology

Background:

  • Bilateral vocal cord paralysis is a frequent cause of stridor in infants and children.
  • Pediatric vocal cord paralysis presents distinct etiological, diagnostic, and management challenges compared to adults.
  • Understanding these differences is crucial for effective clinical care.

Purpose of the Study:

  • To review a decade of experience with vocal cord paralysis in children at a major pediatric hospital.
  • To analyze the etiology, diagnostic delays, and management strategies for pediatric vocal cord paralysis.
  • To establish evidence-based guidelines for the management of vocal cord paralysis in pediatric patients.

Main Methods:

  • Retrospective review of 51 pediatric cases diagnosed with vocal cord paralysis over 10 years.

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  • Evaluation of etiological factors, laterality (unilateral vs. bilateral), diagnostic timelines, and voice abnormalities.
  • Assessment of tracheotomy requirements, surgical interventions, and patient outcomes.

    • Main Results:

    • Analysis of 51 pediatric cases revealed specific etiological patterns and diagnostic considerations.
    • The study identified factors influencing the need for tracheotomy and surgical treatment.
    • Outcomes were evaluated in relation to management approaches, highlighting the effectiveness of conservative strategies.

    Conclusions:

    • Pediatric vocal cord paralysis requires a distinct approach compared to adult cases.
    • Flexible endoscopic evaluation is recommended for diagnosis.
    • Conservative management strategies should be prioritized for children with vocal cord paralysis, reserving surgical intervention for specific indications.