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A Case of Bilateral Vocal Cord Paralysis in Neonate

Journal of the Korean Pediatric Society 1998;41(4):558-561.
Published online April 15, 1998.
A Case of Bilateral Vocal Cord Paralysis in Neonate
Young Kyoun Kim1, Seung Cheol Lee1, Se Wook Oh1, Sang Woo Kim1, Jae Hyung Park2
1Department of Pediatrics, Seoul Paik Hospital Seoul, Korea
2Department of Otolaryngology, Inje University, Seoul Paik Hospital Seoul, Korea
신생아에서의 양측성 성대마비 1례 보고
김영균1, 이승철1, 오세욱1, 김상우1, 박재영2
1인제대학교 의과대학 서울백병원 소아과
2인제대학교 의과대학 서울백병원 이비인후과학교실
Correspondence: 
Young Kyoun Kim, Email: 1
Abstract
Neonatal vocal cord paralysis is the second most common laryngeal anomaly, which accounts for approximately 10% of all congenital laryngeal lesions. Neonate with bilateral vocal cord paralysis are charactenzed with a glottic obstruction which usually shows dyspnea and inspiratory stridor. Treatment of bilateral vocal cord paralysis in neonate have two major goals : restore proper breathing and retain the voice. Tracheostomy is the best method for restoring breating in neonate. The prognosis of bilateral paralysis looks worse. Spontaneous recovery was seen in only half of the cases which usually occur in the idiopathic group and neurologic group. We experienced a case of bilateral vocal cord paralysis in a neonate who showed dyspnea, cyanosis and inspiratory stridor soon after birth. Diagnosis was confirmed by direct laryngoscopy and he was treated with tracheostomy.
Key Words: Vocal cord paralysis, Neonate, Tracheostomy


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