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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

Insights

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.

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.
Abstract

Keywords:
DisfoníaDysphoniaEstridorParálisis laríngeaStridorVocal fold paralysis

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