A Case of Bilateral Vocal Cord Paralysis in Neonate.
- Author:
Young Kyoun KIM
1
;
Seung Cheol LEE
;
Se Wook OH
;
Jae Hyung PARK
;
Sang Woo KIM
Author Information
1. Department of Pediatrics, Inje University, Seoul Paik Hospital Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Vocal cord paralysis;
Neonate;
Tracheostomy
- MeSH:
Cyanosis;
Diagnosis;
Dyspnea;
Humans;
Infant, Newborn*;
Laryngoscopy;
Paralysis;
Parturition;
Prognosis;
Respiration;
Respiratory Sounds;
Tracheostomy;
Vocal Cord Paralysis*;
Vocal Cords*;
Voice
- From:Journal of the Korean Pediatric Society
1998;41(4):558-561
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Neonatal vocal cord paralysis is the second most common laryngeal anomaly, which accounts for approximately 10% of all congenital laryngeal lesions. Neonate with bilateral vocal cord paralysis are charactenzed with a glottic obstruction which usually shows dyspnea and inspiratory stridor. Treatment of bilateral vocal cord paralysis in neonate have two major goals : restore proper breathing and retain the voice. Tracheostomy is the best method for restoring breating in neonate. The prognosis of bilateral paralysis looks worse. Spontaneous recovery was seen in only half of the cases which usually occur in the idiopathic group and neurologic group. We experienced a case of bilateral vocal cord paralysis in a neonate who showed dyspnea, cyanosis and inspiratory stridor soon after birth. Diagnosis was confirmed by direct laryngoscopy and he was treated with tracheostomy.
