Unilateral Vocal Fold Immobility in Children

被引:7
|
作者
Graham, M. Elise [1 ]
Smith, Marshall E. [2 ,3 ]
机构
[1] Western Univ, Schulich Sch Med, London Hlth Sci Ctr, Dept Otolaryngol Head & Neck Surg,Childrens Hosp, 800 Commissioners Rd East, London, ON N6A 5W9, Canada
[2] Univ Utah, Div Otolaryngol Head & Neck Surg, Salt Lake City, UT USA
[3] Univ Utah, Sch Med, Div Otolaryngol, 50 North Med Dr,SOM 3C120, Salt Lake City, UT 84132 USA
关键词
Unilateral vocal fold immobility; Dysphonia; Recurrent laryngeal nerve injury; PATENT DUCTUS-ARTERIOSUS; INTRAOPERATIVE LARYNGEAL ELECTROMYOGRAPHY; CORD PARALYSIS; CARDIOVOCAL SYNDROME; NERVE REINNERVATION; NATURAL-HISTORY; VOICE THERAPY; MANAGEMENT; ANOMALIES; AGE;
D O I
10.1016/j.otc.2019.03.012
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
Unilateral vocal fold paralysis (UVFP) in children may cause dysfunction in voice, swallowing, and breathing, thus influencing all components of laryngeal function. UVFP in children is usually the result of iatrogenic injury. The approach to patients with suspected UVFP should involve a detailed patient history, a focused physical examination with flexible nasopharyngoscopy, and relevant imaging if the cause of UVFP is uncertain. Management aims to strengthen voice, decrease aspiration, and improve quality of life. Laryngeal reinnervation is becoming more common, potentially offering permanent improvement in vocal and swallowing function through increasing bulk and tone to the paralyzed vocal fold.
引用
收藏
页码:681 / +
页数:13
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