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Paediatric bilateral vocal cord paralysis: our experience.
María Laura Scatolini1, Hugo A Rodriguez1, Cinthia G Pérez1
1Servicio de Endoscopía Respiratoria, Hospital de Pediatría Juan P. Garrahan, Ciudad Autónoma de Buenos Aires, Argentina.
Acta Otorrinolaringologica Espanola
|March 28, 2018
Summary
Bilateral vocal cord paralysis (BVCP) in infants is often congenital and idiopathic. While many infants require tracheostomy, surgical interventions can lead to decannulation, especially in idiopathic cases.
Area of Science:
- Pediatric Otolaryngology
- Neonatal Respiratory Disorders
- Vocal Cord Dysfunction
Background:
- Bilateral vocal cord paralysis (BVCP) is a significant cause of neonatal stridor.
- Understanding the demographics, causes, and outcomes of BVCP is crucial for effective management.
Purpose of the Study:
- To describe the demographic characteristics of infants with BVCP.
- To identify the aetiologies and comorbidities associated with BVCP.
- To evaluate the management strategies and outcomes for BVCP patients.
Main Methods:
- Retrospective review of clinical charts.
- Inclusion of patients diagnosed with BVCP between 2011 and 2015.
- Analysis of demographic data, aetiology, comorbidities, and treatment outcomes.
Main Results:
- 47 infants diagnosed with BVCP, with a mean age of 1 month; males predominated (63%).
- Congenital aetiology (59%) was more common than acquired (41%), with idiopathic causes frequent in congenital cases and postoperative injury in acquired cases.
- 89% required tracheostomy; 39% regained vocal cord mobility, with higher rates in idiopathic BVCP (62.5%). Surgical interventions resulted in decannulation for all treated patients.
Conclusions:
- BVCP in this cohort was predominantly congenital and idiopathic, with a male predominance.
- Tracheostomy was frequently required, but surgical interventions facilitated decannulation in all cases.
- Idiopathic BVCP showed a higher rate of vocal cord mobility recovery, enabling decannulation.
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