Hasniah A L, Asiah K, Mariana D, Anida A Rus, Norzila M Z, Sahrir S
Respiratory Unit, Paediatric Institute, Hospital Kuala Lumpur.
Med J Malaysia. 2006 Dec;61(5):626-9.
Congenital upper airway obstruction is a relatively rare but important cause of major respiratory problems in the neonatal period. Vocal cord paralysis is the second most common cause of congenital airway obstruction presenting with neonatal stridor. It is often the reason for the failure of neonates to wean from the respiratory support. A retrospective analysis of medical record review was conducted. There were seven paediatric patients diagnosed with bilateral vocal fold paralysis in the past three years, of which five were recently diagnosed. All patients underwent flexible with/without rigid bronchoscopes to confirm the diagnosis. This case series highlight our experience in managing the problem of bilateral vocal cord paralysis in the paediatric population, with particular emphasis on their clinical presentations, associated complications and both upper and lower airway abnormalities. The management options and outcome of these patients will also be discussed.
先天性上呼吸道梗阻是新生儿期严重呼吸问题的一个相对罕见但重要的原因。声带麻痹是先天性气道梗阻伴新生儿喘鸣的第二大常见原因。它常常是新生儿脱离呼吸支持失败的原因。我们进行了一项病历回顾的回顾性分析。在过去三年里有7名儿科患者被诊断为双侧声带麻痹，其中5名是最近诊断出来的。所有患者均接受了软性（有或无硬性）支气管镜检查以确诊。本病例系列突出了我们在处理儿科患者双侧声带麻痹问题方面的经验，特别强调了其临床表现、相关并发症以及上下气道异常情况。还将讨论这些患者的治疗选择和结果。
