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An Implantable System For Chronic In Vivo Electromyography
09:52

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Published on: April 21, 2020

Paediatric vocal fold paralysis.

Isabel Garcia-Lopez1, Julio Peñorrocha-Teres, Magdalena Perez-Ortin

  • 1Servicio de Otorrinolaringología, Hospital Universitario La Paz, Madrid, España. igarcilopez@yahoo.es

Acta Otorrinolaringologica Espanola
|June 4, 2013
PubMed
Summary
This summary is machine-generated.

Vocal fold paralysis (VFP) in children often presents with stridor and dysphonia. While iatrogenic causes are most common, most cases do not require surgery, and delayed diagnosis is a concern.

Keywords:
DisfoníaDysphoniaEstridorParálisis laríngeaStridorVocal fold paralysis

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Published on: December 1, 2023

Area of Science:

  • Pediatric Otolaryngology
  • Laryngology
  • Pediatric Surgery

Background:

  • Vocal fold paralysis (VFP) is a significant cause of pediatric stridor and dysphonia.
  • Early diagnosis and management are crucial for optimal outcomes in affected infants and children.

Purpose of the Study:

  • To summarize clinical experience with pediatric vocal fold paralysis.
  • To analyze etiologies, diagnostic delays, and treatment outcomes.

Main Methods:

  • Retrospective review of pediatric patients with VFP over 12 months.
  • Diagnosis confirmed via flexible endoscopic examination.
  • Evaluation of etiology, symptoms, diagnostic delay, and treatment.

Main Results:

  • Stridor and dysphonia were primary symptoms.
  • Iatrogenic causes predominated, followed by idiopathic and neurological.
  • Median diagnostic delay was 1 month, longer in iatrogenic cases; most cases did not need surgery.

Conclusions:

  • VFP diagnosis relies on symptoms and flexible endoscopy.
  • Prompt evaluation is essential for infants with stridor/dysphonia post-surgery.
  • Consider potential for late spontaneous recovery or compensation.