Pediatric vocal fold paralysis - A long-term retrospective study
Pediatric vocal fold paralysis - A long-term retrospective study
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DOI：
10.1001/archotol.126.1.21
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发表时间：
2000-01-01
影响因子：
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通讯作者：
Bailey, CM
中科院分区：
文献类型：
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作者：
Daya, H;Hosni, A;Bailey, CM
目的：回顾小儿声带麻痹（VFP）的经验，特别强调病因，相关气道病理条件，治疗和预后结果。设计：对一组VFP患者进行回顾性病例回顾。单位：三级转诊中心。患者：从1980年到1994年的14年间，在英国伦敦大奥蒙德街儿童医院连续抽样102例VFP患者。结果：单侧VFP （52% [n = 53]）和双侧VFP （48% [n = 49]）的分布几乎相等。子宫源性原因占43% (n = 44)，其次是特发性VFP (35% [n = 36])，神经系统原因（16% [n = 16]），最后是出生创伤（5% [n = 5]）。66% （n = 23）行气管切开术的患者出现了相关的上气道病理状况。只有57% （n = 28）的患儿需要气管切开术。预后因病因而异，其中神经源性VFP恢复率最高（71%[5/7]），医源性VFP恢复率最低（46%[12/26]）。结论：特发性双侧VFP可在长达11年的间隔后恢复；这在考虑这些患者的侧化手术时具有重要意义。
Objective: To review our experience of pediatric vocal fold paralysis (VFP), with particular emphasis on etiological factors, associated airway pathologic conditions, and treatment and prognostic outcomes.Design: Retrospective case review of a cohort of patients presenting with VFP.Setting: Tertiary referral center.Patients: A consecutive sample of 102 patients presenting with VFP to Great Ormond Street Hospital for Children, London, England, over a 14-year period from 1980 to 1994.Results: There was an almost equal distribution of unilateral (52% [n = 53]) and bilateral (48% [n = 49]) VFP. latrogenic causes (43% [n = 44]) formed the largest group, followed by idiopathic VFP (35% [n = 36]), neurological causes (16% [n = 16]), and finally birth trauma (5% [n = 5]). Associated upper airway pathologic conditions were noted in 66% (n = 23) of patients who underwent tracheotomy. Tracheotomy was necessary in only 57% (n = 28) of children with bilateral VFP. Prognosis was variable depending upon the cause, with neurological VFP hating the highest rate of recovery (71% [5/7]) and iatrogenic VFP the lowest rate (46% [12/26]).Conclusion: Recovery after an interval of up to 11 years was seen in idiopathic bilateral VFP; this has significant implications when considering lateralization procedures in these patients.