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Early Distraction in Neonates With a Bioresorbable Plate for Bilateral Vocal Fold Immobility
Jeffrey M Hyzer1, Ethan D Frank1, Tzyynong L Friesen1
1Dept of Otolaryngology - Head and Neck Surgery, University of California - San Diego, Rady Children's Health - San Diego, San Diego, California, USA.
The Laryngoscope
|October 16, 2026
Abstract:
We describe a novel surgical technique in two neonates with idiopathic bilateral vocal fold immobility (BVFI) using early posterior cricoid distraction with placement of a poly-l-lactic acid (PLLA) bioresorbable plate to improve the glottic aperture. Both patients experienced complete resolution of stridor and achieved full oral feeding within 2 weeks, avoiding the need for tracheostomy or gastrostomy tube placement.
