Document Detail


Pediatric vocal fold paralysis after cardiac surgery: rate of recovery and sequelae.
MedLine Citation:
PMID:  17967646     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
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:
Type:  Journal Article    
Journal Detail:
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:
Created Date:  2007-10-30     Completed Date:  2007-12-18     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8508176     Medline TA:  Otolaryngol Head Neck Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  780-4     Citation Subset:  IM    
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, Stanford University, Palo Alto, CA 94305-5328, USA. mttruong@stanford.edu
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MeSH Terms
Descriptor/Qualifier:
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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