| Pediatric vocal fold paralysis after cardiac surgery: rate of recovery and sequelae. | |
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MedLine Citation:
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PMID: 17967646 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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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Authors:
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Mai Thy Truong; Anna H Messner; Joseph E Kerschner; Melissa Scholes; Jaime Wong-Dominguez; Henry A Milczuk; Patricia J Yoon |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery Volume: 137 ISSN: 0194-5998 ISO Abbreviation: Otolaryngol Head Neck Surg Publication Date: 2007 Nov |
Date Detail:
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Created Date: 2007-10-30 Completed Date: 2007-12-18 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8508176 Medline TA: Otolaryngol Head Neck Surg Country: United States |
Other Details:
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Languages: eng Pagination: 780-4 Citation Subset: IM |
Affiliation:
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Department of Otolaryngology-Head and Neck Surgery, Stanford University, Palo Alto, CA 94305-5328, USA. mttruong@stanford.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Cardiac Surgical Procedures* Ductus Arteriosus, Patent / surgery Female Follow-Up Studies Humans Infant, Newborn Male Postoperative Complications Retrospective Studies Treatment Outcome Vocal Cord Paralysis / etiology*, physiopathology, surgery |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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