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Year : 2012  |  Volume : 2  |  Issue : 1  |  Page : 5-9

Unilateral pediatric vocal cord paralysis: Evolving trends

Department of Otolaryngology Head and Neck Surgery, Whipps Cross Hospital, London, E11 1NR, United Kingdom

Correspondence Address:
Nancy Grover
Department of Otolaryngology Head and Neck Surgery, Whipps Cross Hospital, London, E11 1NR
United Kingdom
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2230-9748.94727

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Unilateral vocal cord paralysis (UVCP) in children is a rare and challenging disorder for the pediatric otolaryngologist. The overall etiology differs from that in adults, iatrogenic causes are the commonest, followed by traumatic - birth or intubation trauma and neurologic causes. Prolonged spontaneous recovery occurs in up to 50% of cases. Management strategies used for adults have evolved and been utilized in children, with increasing reports of surgical intervention over the last decade. However, number of children treated remains small with no long-term follow-up. We used the terms "vocal cord palsy," "vocal cord paresis," "vocal fold immobility" each limited by "paediatric," "children," to search Medline, Embase, PubMed, Cochrane, and CINHAL. Reference lists were crosschecked to include relevant studies. Only English language literature was searched. Studies specifically relating to unilateral vocal cord or containing relevant data were identified and analyzed. We present our review of literature on pediatric UVCP with emphasis on various interventions for management, especially the growing experience with laryngeal re-innervation.

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