The consensus among experts on the diagnosis and treatment of pediatric vocal cord paralysis
-
摘要: 儿童声带麻痹是小儿喉运动神经损伤导致的声带运动障碍,主要表现为发声、呼吸和吞咽功能障碍,严重可导致患儿窒息。目前对该疾病采取何种诊治方式,最大程度地减少对声门和喉框架结构的破坏,是小儿耳鼻喉科医师面临最棘手的问题。因此,为规范儿童声带麻痹的诊治,中国医师协会儿科医师分会儿童耳鼻咽喉专业委员会联合全国多家儿童医疗中心特制定本共识。Abstract: Pediatric vocal ford paralysis is a vocal cord movement disorder caused by damage to the pediatric laryngeal motor nerves.It is mainly characterized by voice, breathing, and swallowing difficulties, and in severe cases, it can lead to choking in affected children. Currently, the diagnosis and treatment of this condition pose a significant challenge for pediatric otolaryngologists, as the goal is to minimize damage to the vocal folds and laryngeal framework.In order to standardize the diagnosis and treatment of pediatric vocal cord paralysis, the Pediatric Otolaryngology Committee of the Chinese Medical Association, in collaboration with multiple children's medical centers nationwide, have formulated this consensus document.
-
Key words:
- children /
- vocal cord paralysis /
- voice training /
- tracheotomy /
- glottis enlargement surgery
-
-
[1] Dedo DD. Pediatric vocal cord paralysis[J]. Laryngoscope, 1979, 89(9 Pt 1): 1378-1384.
[2] 王华, 刘世琳, 张亚梅. 2500例声嘶儿童及青少年电子喉镜检查结果分析[J]. 听力学及言语疾病杂志, 2009, 17(3): 245-247. https://www.cnki.com.cn/Article/CJFDTOTAL-TLXJ200903016.htm
[3] Jabbour J, Uhing M, Robey T. Vocal fold paralysis in preterm infants: prevalence and analysis of risk factors[J]. J Perinatol, 2017, 37(5): 585-590.
[4] 许政敏, 刘大波. 临床儿童耳鼻咽喉头颈外科学[M]. 北京: 人民卫生出版社, 2022: 354-355.
[5] Strychowsky JE, Rukholm G, Gupta MK, et al. Unilateral vocal fold paralysis after congenital cardiothoracic surgery: a meta-analysis[J]. Pediatrics, 2014, 133(6): e1708-e1723.
[6] Dewan K, Cephus C, Owczarzak V, et al. Incidence and implication of vocal fold paresis following neonatal cardiac surgery[J]. Laryngoscope, 2012, 122(12): 2781-2785. doi: 10.1002/lary.23575
[7] Lee MGY, Millar J, Rose E, et al. Laryngeal ultrasound detects a high incidence of vocal cord paresis after aortic arch repair in neonates and young children[J]. J Thorac Cardiovasc Surg, 2018, 155(6): 2579-2587.
[8] Pham V, Connelly D, Wei JL, et al. Vocal cord paralysis and Dysphagia after aortic arch reconstruction and Norwood procedure[J]. Otolaryngol Head Neck Surg, 2014, 150(5): 827-833.
[9] Pourmoghadam KK, DeCampli WM, Ruzmetov M, et al. Recurrent Laryngeal Nerve Injury and Swallowing Dysfunction in Neonatal Aortic Arch Repair[J]. Ann Thorac Surg, 2017, 104(5): 1611-1618.
[10] Benjamin JR, Smith PB, Cotten CM, et al. Long-term morbidities associated with vocal cord paralysis after surgical closure of a patent ductus arteriosus in extremely low birth weight infants[J]. J Perinatol, 2010, 30(6): 408-413.
[11] Smith ME, King JD, Elsherif A, et al. Should all newborns who undergo patent Ductus arteriosus ligation be examined for vocal fold mobility?[J]. Laryngoscope, 2009, 119(8): 1606-1609.
[12] Clement WA, El-Hakim H, Phillipos EZ, et al. Unilateral vocal cord paralysis following patent ductus arteriosus ligation in extremely low-birth-weight infants[J]. Arch Otolaryngol Head Neck Surg, 2008, 134(1): 28-33.
[13] Kovesi T, Porcaro F, Petreschi F, et al. Vocal cord paralysis appears to be an acquired lesion in children with repaired esophageal atresia/tracheoesophageal fistula[J]. Int J Pediatr Otorhinolaryngol, 2018, 112: 45-47.
[14] Morini F, Iacobelli BD, Crocoli A, et al. Symptomatic vocal cord paresis/paralysis in infants operated on for esophageal atresia and/or tracheo-esophageal fistula[J]. J Pediatr, 2011, 158(6): 973-976.
[15] Mortellaro VE, Pettiford JN, St Peter SD, et al. Incidence, diagnosis, and outcomes of vocal fold immobility after esophageal atresia(EA)and/or tracheoesophageal fistula(TEF)repair[J]. Eur J Pediatr Surg, 2011, 21(6): 386-388.
[16] Sachdeva R, Hussain E, Moss MM, et al. Vocal cord dysfunction and feeding diffificulties after pediatric cardiovascular surgery[J]. J Pediatr, 2007;151(3): 312-315.
[17] Pu S, Li W, Xu H, et al. Open Surgical Excision Versus Endoscopic Radiofrequency Ablation for Piriform Fossa Fistula[J]. Ear Nose Throat J, 2021, 100(5_suppl): 700S-706S.
[18] Holinger LD, Holinger PC, Holinger PH. Etiology of bilateral abductor vocal cord paralysis: a review of 389 cases[J]. Ann Otol Rhinol Laryngol, 1976, 85(4 pt 1): 428-436.
[19] Daya H, Hosni A, Bejar-Solar I, et al. Pediatric vocal fold paralysis: a long-term retrospective study[J]. Arch Otolaryngol Head Neck Surg, 2000, 126(1): 21-25.
[20] Jabbour J, North LM, Bougie D, et al. Vocal Fold Immobility due to Birth Trauma: A Systematic Review and Pooled Analysis[J]. Otolaryngol Head Neck Surg, 2017, 157(6): 948-954.
[21] Capsomidis A, Hall A, Daya H, et al. Vocal Cord Palsy in Children With Cancer: A 10-Year Analysis of UK Pediatric Intensive Care Admissions[J]. J Pediatr Hematol Oncol, 2017, 39(4): 293-295.
[22] Isaacson G, Moya F. Hereditary congenital laryngeal abductor paralysis[J]. Ann Otol Rhinol Laryngol, 1987, 96(6): 701-704.
[23] 黄永望, 傅德慧, 潘静. 实用临床嗓音疾病矫治学[M]. 天津: 天津科技翻译出版有限公司, 2018: 339-393.
[24] Jabbour J, Martin T, Beste D, et al. Pediatric vocal fold immobility: natural history and the need for long-term follow-up[J]. JAMA Otolaryngol Head Neck Surg, 2014, 140(5): 428-433.
[25] Lesnik M, Thierry B, Blanchard M, et al. Idiopathic bilateral vocal cord paralysis in infants: Case series and literature review[J]. Laryngoscope, 2015, 125(7): 1724-1728.
[26] Funk RT, Jabbour J, Robey T. Factors associated with tracheotomy and decannulation in pediatric bilateral vocal fold immobility[J]. Int J Pediatr Otorhinolaryngol, 2015, 79(6): 895-899.
[27] Miyamoto RC, Parikh SR, Gellad W, et al. Bilateral congenital vocal cord paralysis: a 16-year institutional review[J]. Otolaryngol Head Neck Surg, 2005, 133(2): 241-245.
[28] Nisa L, Holtz F, Sandu K. Paralyzed neonatal larynx in adduction. Case series, systematic review and analysis[J]. Int J Pediatr Otorhinolaryngol, 2013, 77(1): 13-18.
[29] Jang M, Biggs P, North L, et al. Management and outcomes of pediatric vocal cord paresis in Chiari malformation[J]. Int J Pediatr Otorhinolaryngol, 2018, 115: 49-53.
[30] Rosin DF, Handler SD, Potsic WP, et al. Vocal cord paralysis in children[J]. Laryngoscope, 1990, 100: 1174-1179.
[31] Cohen SR, Geller KA, Birns JW, et al. Laryngeal paralysis in children: a long-term retrospective study[J]. Ann Otol Rhinol Laryngol, 1982, 91(4 Pt 1): 417-424.
[32] Holinger LD, Holinger PC, Holinger PH. Etiology of bilateral abductor vocal cord paralysis: a review of 389 cases[J]. Ann Otol Rhinol Laryngol, 1976, 85(4 Pt 1): 428-436.
[33] Murty GE, Shinkwin C, Gibbin KP. Bilatearl vocal fold paralysis in infants: tracheostomy or not?[J]. J Laryngol Otol, 1994, 108: 329-331.
[34] 韩德民, Robert T, 徐文, 等. 嗓音医学[M]. 北京: 人民卫生出版社, 2017: 259-260.
[35] Thorpe RK, Kanotra SP. Surgical Management of Bilateral Vocal Fold Paralysis in Children: A Systematic Review and Meta-analysis[J]. Otolaryngol Head Neck Surg, 2021, 164(2): 255-263.
[36] Tan L, Chen C, Li Q. Outcomes of endoscopic percutaneous suture lateralization for neonatal and infantal bilateral vocal ford paralysis[J]. Braz J Otorhinolaryngol, 2023, 89(2): 271-278.
-
计量
- 文章访问数: 765
- PDF下载数: 285
- 施引文献: 0