Short Original Article
Clinical evaluation of vocal fold paralysis in 207 children
Bo Duan, Yihua Ni, Yuqiong Dai, Zhengmin Xu
Published 2018-11-07
Cite as Chin J Otorhinolaryngol Head Neck Surg, 2018, 53(11): 847-850. DOI: 10.3760/cma.j.issn.1673-0860.2018.11.010
Abstract
ObjectiveTo investigate the etiology and clinical characteristics of vocal fold paralysis in children. To provide useful information for diagnosis, management and prognosis in the clinical work.
MethodsTwo hundred and seven children with vocal fold paralysis in Children′s Hospital of Fudan University were retrospectively studied, and followed-up.
ResultsAll the patients had hoarseness.151 cases had vocal paralysis in the left side and the main etiology was pulmonary arterial hypertension.43 cases had bilateral vocal paralysis and all of them had respiratory problems.The main etiology were congenital tracheoesophageal malformations.13 cases had vocal paralysis in the right side.In terms of etiology, 8 cases were related to intracranial lesions, 2 cases were idiopathic.
ConclusionsThe main etiologies of left vocal fold paralysis were cardiovascular diseases, and bilateral vocal paralysis were congenital tracheoesophageal malformations.The main etiologies of right vocal fold paralysis were neoplastic and central lesion.The prognosis of bilateral vocal fold paralysis and right vocal fold paralysis was poor.
Key words:
Children; Vocal fold paralysis; Etiology; Prognosis
Contributor Information
Bo Duan
Department of Otorhinolaryngology Head and Neck Surgery, Children′s Hospital of Fudan University, Shanghai 201102, China
Yihua Ni
Department of Otorhinolaryngology Head and Neck Surgery, Children′s Hospital of Fudan University, Shanghai 201102, China
Yuqiong Dai
Department of Otorhinolaryngology Head and Neck Surgery, Children′s Hospital of Fudan University, Shanghai 201102, China
Zhengmin Xu
Department of Otorhinolaryngology Head and Neck Surgery, Children′s Hospital of Fudan University, Shanghai 201102, China
