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Bilateral vocal fold Paralysis in infants: tracheostomy or not?

Published online by Cambridge University Press:  29 June 2007

G. E. Murty ,
C. Shinkwin  and
K. P. Gibbin
G. E. Murty*
Affiliation:
Department of Otorhinolaryngology, University Hospital, Nottingham.
C. Shinkwin
Affiliation:
Department of Otorhinolaryngology, University Hospital, Nottingham.
K. P. Gibbin
Affiliation:
Department of Otorhinolaryngology, University Hospital, Nottingham.
*
George E. Murty, ENT Department, University Hospital, Nottingham NG7 2UH.
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Abstract

Tracheostomy has, in the past, been performed in the majority of children under one year with bilateral vocal fold paralysis. We present our experience of 11 cases over a ten-year period during which tracheostomy was avoided whenever possible. Ten cases were managed conservatively but in the youngest a tracheostomy was required. Full bilateral vocal fold mobility developed in all cases at a mean age of 11.5 months (range 5–26 months). Our experience suggests that the airway can commonly be managed expectantly without a tracheostomy.

Keywords

Vocal cord paralysisInfantsTracheostomy
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 108 , Issue 4 , April 1994 , pp. 329 - 331
Copyright
Copyright © JLO (1984) Limited 1994

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Footnotes

Presented to the British Association of Paediatric Otolaryngologists, Manchester, June 1993.

References

Cohen, S. R., Geller, K. A., Birns, J. W., Thompson, J. W. (1982) Laryngeal paralysis in children. Annals of Otology, Rhinology and Laryngology 91: 17–424.CrossRefGoogle ScholarPubMed
Emery, P. E., Fearon, B. (1984) Vocal cord palsy in pediatric practice: a review of 71 cases. International Journal of Pediatric Otorhinolaryngology 8: 147–154.CrossRefGoogle Scholar
Gentile, R. D., Miller, R. H., Woodson, G. E. (1986) Vocal cord paralysis in children one year of age and younger. Annals of Otology, Rhinology and Laryngology 95: 622–625.CrossRefGoogle ScholarPubMed
Gilmore, B. B., Mickelson, S. A. (1986) Pediatric tracheostomy: controversies of management. Otolaryngologic Clinics of North America 19: 141–151.Google Scholar
Holinger, L. D., Holinger, P. C, Holinger, P. H. (1976) Etiology of bilateral vocal cord paralysis. Annals of Otology, Rhinology and Laryngology 85: 428–436.CrossRefGoogle Scholar
Kenna, M. A., Reilly, J. S., Stool, S. E. (1987) Tracheostomy in the preterm infant. Annals of Otology, Rhinology and Laryngology 96: 68–71.CrossRefGoogle Scholar
King, B. T. (1939) A new and function-restoring operation for bilateral abductor cord paralysis. Journal of American Medical Association 112: 814–823.CrossRefGoogle Scholar
Line, W. S., Hawkins, D. B., Kahlstrom, E. J., MacLaughlin, E. E, Ensley, J. L. (1986) Tracheostomy in infants and young children: the changing perspective 1970–85. Laryngoscope 96: 510–515.CrossRefGoogle Scholar
McRae, D. L., Rae, R. E., Heeneman, H. (1984) Pediatric tracheostomy. Journal of Otolaryngology 13: 309–311.Google Scholar
Narcy, P., Contencin, P., Viala, P. (1990) Surgical treatment for laryngeal paralysis in infants and children. Annals of Otology, Rhinology and Laryngology 99: 124–128.CrossRefGoogle ScholarPubMed
Swift, A. C., Rogers, J. (1987) Vocal cord paralysis in children. Journal of Laryngology and Otology 101: 169–171.CrossRefGoogle ScholarPubMed
Tepas, J. J., Heroy, J. H., Sherneta, D. W., Haller, J. A. (1981) Tracheostomy in neonates and small infants: problems and pitfalls. Surgery 89: 635–639.Google ScholarPubMed
Tucker, H. M. (1976) Human laryngeal re-innervation. Laryngoscope 86: 769–779.CrossRefGoogle Scholar
Tucker, H. M. (1986) Vocal cord paralysis in small children: principles in management. Annals of Otology, Rhinology and Laryngology 95: 618–621.CrossRefGoogle ScholarPubMed
Wetmore, R. E., Handler, S. D., Potsic, W. P. (1982) Pediatric tracheostomy: experience during the past decade. Annals of Otology, Rhinology and Laryngology 91: 628–632.Google Scholar
Willatt, D. J., Stell, P. M. (1989) The prognosis and management of idiopathic vocal cord paralysis. Clinical Otolaryngology 14: 247–250.CrossRefGoogle ScholarPubMed
Woodman, D. (1946) A modification of the extralaryngeal approach to arytenoidectomy for bilateral abductor paralysis. Archives of Otolaryngology 47: 505–508.Google Scholar