J Korean Pediatr Soc.  1998 Apr;41(4):558-561.

A Case of Bilateral Vocal Cord Paralysis in Neonate

• Kim YK
• Lee SC
• Oh SW
• Park JH
• Kim SW

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.

Keyword

Vocal cord paralysis; Neonate; Tracheostomy

MeSH Terms

Cyanosis
Diagnosis
Dyspnea
Humans
Infant, Newborn*
Laryngoscopy
Paralysis
Parturition
Prognosis
Respiration
Respiratory Sounds
Tracheostomy
Vocal Cord Paralysis*
Vocal Cords*
Voice