声带外移固定术治疗新生儿继发性双侧声带麻痹1例并文献复习

doi:10.6040/j.issn.1673-3770.0.2025.290

Abstract

Abstract: Objective To investigate the efficacy of bilateral vocal cord external fixation under suspension laryngoscopy for paediatric patients with bilateral vocal cord paralysis following tracheoesophageal fistula repair. Methods A paediatric patient developed bilateral vocal cord paralysis with severe respiratory distress following tracheoesophageal fistula repair, highly suggestive of iatrogenic injury. After two weeks of conservative observation under tracheal intubation with no significant improvement, Under general anaesthesia, bilateral vocal cord external fixation was performed via laryngoscopy. Postoperatively, antibiotics were administered for infection prophylaxis, corticosteroids and nebulisation to reduce laryngeal oedema, and anti-reflux medication to inhibit oesophageal reflux. Tracheal intubation and ventilator support were maintained. Results The infant was successfully extubated on the fifth postoperative day with restored normal respiration and was discharged. An eight-month follow-up revealed near-complete recovery of bilateral vocal cord mobility, and sutures were removed. Conclusion Bilateral vocal cord paralysis in neonates may present with severe respiratory distress. The laryngeal microlaryngoscope-assisted vocal cord fixation technique represents a safe, effective, and minimally invasive surgical approach for managing this condition.

Key words: Self-retaining laryngoscope, Vocal cord extroversion, Tracheoesophageal fistula, Bilateral vocal cord paralysis

CLC Number:

R726.1

LI Qingliang, DOU Fenfen, LI Wuxuan, WANG Xiaojie, KANG Lili, SUN Xiaowei. A case of secondary bilateral vocal cord paralysis treated by external fixation of vocal cord in a newbornand literature review[J].Journal of Otolaryngology and Ophthalmology of Shandong University, 2026, 40(5): 73-77.

References

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A case of secondary bilateral vocal cord paralysis treated by external fixation of vocal cord in a newbornand literature review

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