Tiago Romualdo Suzano Louzeiro, Patrocínio Sandra Jager, dos Anjos Patricya Santos Figueiredo, Ribeiro Juparethan Trento, Gil Fábio Marangoni, Denunci Flávia Villin
Programa de Pós-graduação em Otorrinolaringologia e Cirurgia de Cabeça e Pescoço da UNIFESP-EPM.
Braz J Otorhinolaryngol. 2005 May-Jun;71(3):382-5. doi: 10.1016/s1808-8694(15)31341-0. Epub 2005 Dec 14.
ocal fold paralysis accounts for 10% of the larynx congenital abnormality, being the second most common cause of laryngeal stridor in childhood. As to unilateral vocal fold paralysis, the main cause is left-sided iatrogenic injury to the recurrent laryngeal nerve, secondary to surgery to correct the patent ductus arteriosus. In this study we reviewed the literature, reporting a case of a child who, after having undergone surgery to close the patent ductus arteriosus, evolved with breathing difficulty and dysphonia. We suggest that flexible fiberoptic laryngoscopy is carried out pre- and post surgery in children for whom heart surgery to correct congenital abnormalities is indicated, thus allowing for early diagnosis of vocal fold paralysis and the selection of the best management approach.
声带麻痹占喉部先天性异常的10%，是儿童喉喘鸣的第二大常见原因。至于单侧声带麻痹，主要原因是在矫正动脉导管未闭的手术后，左侧喉返神经受到医源性损伤。在本研究中，我们回顾了文献，并报告了一例患儿，该患儿在接受动脉导管未闭闭合手术后，出现呼吸困难和声音嘶哑。我们建议，对于有先天性异常需要进行心脏手术的儿童，在手术前后进行纤维柔性喉镜检查，以便早期诊断声带麻痹并选择最佳治疗方法。
