TY - JOUR
T1 - Pediatric vocal fold paralysis after cardiac surgery
T2 - Rate of recovery and sequelae
AU - Truong, Mai Thy
AU - Messner, Anna H.
AU - Kerschner, Joseph E.
AU - Scholes, Melissa
AU - Wong-Dominguez, Jaime
AU - Milczuk, Henry A.
AU - Yoon, Patricia J.
PY - 2007/11
Y1 - 2007/11
N2 - Objective: To determine the rate of recovery of pediatric vocal fold paralysis (VFP) after cardiac surgery. Study Design and Setting: Retrospective case series from January 2000 to 2005 at 4 tertiary care pediatric hospitals. Results: A total of 109 children with VFP were identified. Of 80 patients with follow-up >3 months, 28 (35%) recovered vocal fold function with a median time to diagnosis of recovery of 6.6 months. Fifty-two (65%) patients had persistent vocal fold paralysis with a median follow-up time of 16.4 months. Twenty-five (45%) of 55 patients demonstrated aspiration or laryngeal penetration with modified barium swallow. Twenty-nine (27%) of the 109 patients underwent surgical intervention for their airway, feeding, or voice. Conclusions: Pediatric VFP is not an uncommon complication after cardiac surgery and can result in serious sequelae. This study demonstrates a 35% rate of recovery, 45% rate of aspiration, and 27% rate of complications that require surgical intervention.
AB - Objective: To determine the rate of recovery of pediatric vocal fold paralysis (VFP) after cardiac surgery. Study Design and Setting: Retrospective case series from January 2000 to 2005 at 4 tertiary care pediatric hospitals. Results: A total of 109 children with VFP were identified. Of 80 patients with follow-up >3 months, 28 (35%) recovered vocal fold function with a median time to diagnosis of recovery of 6.6 months. Fifty-two (65%) patients had persistent vocal fold paralysis with a median follow-up time of 16.4 months. Twenty-five (45%) of 55 patients demonstrated aspiration or laryngeal penetration with modified barium swallow. Twenty-nine (27%) of the 109 patients underwent surgical intervention for their airway, feeding, or voice. Conclusions: Pediatric VFP is not an uncommon complication after cardiac surgery and can result in serious sequelae. This study demonstrates a 35% rate of recovery, 45% rate of aspiration, and 27% rate of complications that require surgical intervention.
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U2 - 10.1016/j.otohns.2007.07.028
DO - 10.1016/j.otohns.2007.07.028
M3 - Article
C2 - 17967646
AN - SCOPUS:35448972093
SN - 0194-5998
VL - 137
SP - 780
EP - 784
JO - Otolaryngology - Head and Neck Surgery
JF - Otolaryngology - Head and Neck Surgery
IS - 5
ER -