Related Experiment Videos
[Bilateral vocal cord paralysis in children]
1Department of Otorhinolaryngology, Yokohama City University.
Nihon Jibiinkoka Gakkai Kaiho
|January 1, 1996
Summary
Bilateral vocal cord paralysis in infants is rare but manageable. Most children recover laryngeal function, and airway issues can often be resolved without tracheostomy (surgical airway).
Area of Science:
- Pediatric Otolaryngology
- Pediatric Pulmonology
- Pediatric Neurology
Context:
- Bilateral vocal cord paralysis (BVCP) in infants presents diagnostic and management challenges.
- This condition is rare, with limited reported cases, necessitating further clinical insights.
- Understanding associated anomalies is crucial for comprehensive patient care.
Purpose:
- To review the clinical characteristics, diagnostic methods, and management outcomes of infantile bilateral vocal cord paralysis.
- To evaluate the long-term functional recovery of laryngeal function, swallowing, and development in affected children.
- To assess the necessity and outcomes of interventions such as tracheostomy.
Summary:
- Eighteen infantile cases of bilateral vocal cord paralysis were analyzed, diagnosed via flexible fiberscopy and direct laryngoscopy.
- Congenital cases predominated (13/18), with common symptoms including inspiratory stridor and near-normal phonation.
- Associated anomalies were frequent; however, most children showed good recovery of laryngeal function, swallowing, and development, often without tracheostomy.
Impact:
- This study suggests that conservative airway management, potentially avoiding tracheostomy, is feasible for many infants with bilateral vocal cord paralysis.
- Improved understanding of BVCP can lead to better diagnostic and therapeutic strategies, enhancing patient outcomes.
- Highlights the potential for spontaneous recovery and good functional development in affected children, reducing the need for invasive procedures.