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Management of bilateral vocal fold paralysis in children
Current Opinion in Otolaryngology & Head & Neck SurgeryPurpose of review Bilateral vocal fold paralysis (BVFP) is a complex condition with a range of aetiologies and clinical presentations. Whilst spontaneous improvement may occur in a significant number of cases (48–70%), in the absence of recovery, multiple operations have been used to improve the airway.
Olivia K G, Hartley +1 more
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Bilateral Vocal Fold Paralysis: An Unsual Treatment With Botulinum Toxin
Journal of Voice, 2004We presented a patient with bilateral vocal fold paralysis treated with intralaryngeal Botox injection to improve the glottal airway. The use of Botox in this manner has not been previously reported and highlights the value and role of intralaryngeal Botox in changing the configuration of the glottis.
Clark A Rosen, Pedro A Andrade Filho
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Vocal fold paralysis: role of bilateral transverse cordotomy
The Journal of Laryngology & Otology, 2009AbstractObjective:Although modern endoscopic laser techniques aim to avoid a permanent tracheostomy by augmenting the glottic aperture in cases of bilateral vocal fold palsy, loss of tissue from the posterior glottis risks compromising voice quality and swallowing function.
Y, Bajaj +6 more
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Simultaneous bilateral posterior cordectomy in bilateral vocal fold paralysis
Otolaryngology–Head and Neck Surgery, 2005The operation of simultaneous bilateral posterior cordectomy by CO2 laser was performed in 22 cases of bilateral vocal fold paralysis. The success rate was up to 92% with good airway and voice quality. The procedure is simple, cost‐effective with virtually no complications.
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Surgical management of bilateral vocal fold paralysis
Operative Techniques in Otolaryngology-Head and Neck Surgery, 1998Bilateral vocal fold immobility presents a challenging problem for the otolaryngologist. Although some patients may be managed without intervention, most patients with bilateral true vocal fold immobility require airway management. The goals of such management are usually aimed at producing a safe tracheotomy-free airway, with preservation of ...
Michael S. Benninger +2 more
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Suture lateralisation of the vocal fold in a patient with bilateral vocal cord paralysis
Ugeskrift for LægerThe treatment of bilateral recurrent laryngeal paralysis is usually tracheotomy or various forms of irreversible surgery with removal of parts of the larynx. Since recurrent laryngeal paralysis is reversible in 33% of cases, tracheotomy is usually the treatment of choice.
Carolina Maria Helena, Hilton +2 more
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Acute Management of Bilateral Vocal Fold Paralysis
2019Acute-onset bilateral vocal fold paralysis is most commonly a result of iatrogenic injury to the recurrent laryngeal nerves. With the primary goal of improving ventilation and stabilizing the patient’s airway, there are limited management options in the acute setting.
Laura M. Dominguez, C. Blake Simpson
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Endoscopic management of bilateral vocal fold paralysis in newborns and infants
International Journal of Pediatric Otorhinolaryngology, 2017Bilateral vocal cord paralysis in adducted position (BVCPAd) is a severe cause of airway obstruction and usually debuts with stridor and airway distress necessitating immediate intervention. Tracheostomy has long been the gold standard for treating this condition, but has significant associated morbidity and mortality in pediatric patients.
Sahba Sedaghat +3 more
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Reinnervation/Pacing for Bilateral Vocal Fold Paralysis
2019Standard therapy in patients with bilateral vocal fold paralysis (BVFP) still only focuses primarily on the improvement of the breathing function. Modern surgical options with the aim to restore at least partially the vocal fold movement should play a stronger role in the future.
Andreas H. Mueller +3 more
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Arytenoid abduction for bilateral vocal fold paralysis
Operative Techniques in Otolaryngology-Head and Neck Surgery, 2012Patients with bilateral laryngeal paralysis suffer primarily from airway obstruction because the vocal folds do not abduct for inspiration. However, many patients have some adductor action during phonation, so that the voice is not severely impaired and may even be near.
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