de Gaudemar I, François M, Narcy P
Service d'ORL, Hôpital Robert Debré, Paris.
Ann Otolaryngol Chir Cervicofac. 1992;109(4):169-74.
The following study is based on a retrospective survey of 116 cases of neonatal vocal cord paralysis referred to out department over a period of 5 years. The purpose of this study is to better define the etiology, the evolution, and the prognosis of this affection in the newborn. The principal prognostic factors are: 1) unilateral versus bilateral involvement, 2) the etiological factors associated with the paralysis. Among 21 newborns with unilateral paralysis occurring after an abnormal or difficult delivery, 90% recovered spontaneously. In this form of vocal cord paralysis and in brachial plexus or facial nerve paralysis of obstetrical origin, the etiopathogenesis and prognosis are comparable. Unilateral vocal cord paralysis as the result of other etiological factors and bilateral paralysis as a group have a worse prognosis (76% and 74% spontaneous recoveries, respectively).
以下研究基于对5年间转诊至我科的116例新生儿声带麻痹病例的回顾性调查。本研究的目的是更好地明确新生儿这种疾病的病因、病情发展及预后。主要预后因素为：1）单侧受累与双侧受累；2）与麻痹相关的病因。在21例因异常或困难分娩后发生单侧麻痹的新生儿中，90%自发恢复。在这种形式的声带麻痹以及产科原因导致的臂丛神经或面神经麻痹中，病因发病机制及预后具有可比性。由其他病因导致的单侧声带麻痹以及双侧麻痹这一组的预后较差（自发恢复率分别为76%和74%）。
