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Laser cordotomy for the treatment of bilateral vocal cord paralysis in infants.
Int J Pediatr Otorhinolaryngol. 2009 Jan; 73(1):9-13.IJ

Abstract

OBJECTIVE

Vocal cord paralysis is the second cause of neonatal stridor. Several surgical treatments are proposed in order to avoid tracheotomy or to decanulate patients. Laser posterior partial cordotomy is supposed to be a minimal invasive procedure. The purpose of the study is to share our experience in management of laryngeal paralysis with this technique in infants and appreciate its role in avoiding tracheotomy in infants.

DESIGN

Retrospective study.

PATIENTS

The charts of 0-2-year-old patients treated for vocal cord paralysis from 1996 to 2007 are reviewed. Eleven infants with bilateral laryngeal paralysis in adduction presented severe dyspnoea. Tracheotomy was performed in four out of them, proposed in five others. One infant out of 11 underwent long-term intubation, and one presented with progressive dyspnoea.

RESULTS

The laser posterior partial cordotomy allowed the decanulation after one session (n=2) or avoided tracheotomy (n=5), one patient had significant improvement of his respiratory function. Two patients needed a second session of laser cordotomy and were decanulated. The functional results for the voice and swallowing qualities were subjectively satisfactory. One patient had pejorative evolution.

CONCLUSION

Posterior partial cordotomy is an effective, minimal invasive technique which can be proposed to avoid tracheotomy in infants with bilateral adduction vocal cord paralysis. No functional sequelae were observed.

Authors+Show Affiliations

Department of Pediatric Otorhinolaryngology, La Timone Children's Hospital, 13385 Marseille cedex 5, France.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

19019461

Citation

Lagier, Aude, et al. "Laser Cordotomy for the Treatment of Bilateral Vocal Cord Paralysis in Infants." International Journal of Pediatric Otorhinolaryngology, vol. 73, no. 1, 2009, pp. 9-13.
Lagier A, Nicollas R, Sanjuan M, et al. Laser cordotomy for the treatment of bilateral vocal cord paralysis in infants. Int J Pediatr Otorhinolaryngol. 2009;73(1):9-13.
Lagier, A., Nicollas, R., Sanjuan, M., Benoit, L., & Triglia, J. M. (2009). Laser cordotomy for the treatment of bilateral vocal cord paralysis in infants. International Journal of Pediatric Otorhinolaryngology, 73(1), 9-13. https://doi.org/10.1016/j.ijporl.2008.09.009
Lagier A, et al. Laser Cordotomy for the Treatment of Bilateral Vocal Cord Paralysis in Infants. Int J Pediatr Otorhinolaryngol. 2009;73(1):9-13. PubMed PMID: 19019461.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Laser cordotomy for the treatment of bilateral vocal cord paralysis in infants. AU - Lagier,Aude, AU - Nicollas,Richard, AU - Sanjuan,Mélanie, AU - Benoit,Lafont, AU - Triglia,Jean-Michel, Y1 - 2008/11/18/ PY - 2008/06/30/received PY - 2008/09/01/revised PY - 2008/09/04/accepted PY - 2008/11/21/pubmed PY - 2009/4/1/medline PY - 2008/11/21/entrez SP - 9 EP - 13 JF - International journal of pediatric otorhinolaryngology JO - Int J Pediatr Otorhinolaryngol VL - 73 IS - 1 N2 - OBJECTIVE: Vocal cord paralysis is the second cause of neonatal stridor. Several surgical treatments are proposed in order to avoid tracheotomy or to decanulate patients. Laser posterior partial cordotomy is supposed to be a minimal invasive procedure. The purpose of the study is to share our experience in management of laryngeal paralysis with this technique in infants and appreciate its role in avoiding tracheotomy in infants. DESIGN: Retrospective study. PATIENTS: The charts of 0-2-year-old patients treated for vocal cord paralysis from 1996 to 2007 are reviewed. Eleven infants with bilateral laryngeal paralysis in adduction presented severe dyspnoea. Tracheotomy was performed in four out of them, proposed in five others. One infant out of 11 underwent long-term intubation, and one presented with progressive dyspnoea. RESULTS: The laser posterior partial cordotomy allowed the decanulation after one session (n=2) or avoided tracheotomy (n=5), one patient had significant improvement of his respiratory function. Two patients needed a second session of laser cordotomy and were decanulated. The functional results for the voice and swallowing qualities were subjectively satisfactory. One patient had pejorative evolution. CONCLUSION: Posterior partial cordotomy is an effective, minimal invasive technique which can be proposed to avoid tracheotomy in infants with bilateral adduction vocal cord paralysis. No functional sequelae were observed. SN - 0165-5876 UR - https://www.unboundmedicine.com/medline/citation/19019461/Laser_cordotomy_for_the_treatment_of_bilateral_vocal_cord_paralysis_in_infants_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0165-5876(08)00439-4 DB - PRIME DP - Unbound Medicine ER -