Rosin D F, Handler S D, Potsic W P, Wetmore R F, Tom L W
Division of Otolaryngology, Children's Hospital of Philadelphia, PA 19104.
Laryngoscope. 1990 Nov;100(11):1174-9. doi: 10.1288/00005537-199011000-00008.
Bilateral vocal cord paralysis is a common cause of stridor in infants and children. There are significant differences in this entity between children and adults with regard to etiology, diagnosis, management, and outcome. A review of 10 years' experience at Children's Hospital of Philadelphia identified 51 children seen with the diagnosis of vocal cord paralysis. These cases were evaluated with respect to etiology of paralysis, whether unilateral or bilateral, delay in diagnosis, need for tracheotomy, abnormality of voice, surgical treatment, and outcome. Guidelines for management for a child with vocal cord paralysis are presented with emphasis on flexible endoscopic evaluation and conservative management.
双侧声带麻痹是婴幼儿喘鸣的常见原因。在病因、诊断、治疗及预后方面，儿童与成人的这一病症存在显著差异。回顾费城儿童医院10年的经验，共确诊51例声带麻痹患儿。对这些病例在麻痹病因、单侧或双侧、诊断延迟、气管切开需求、嗓音异常、手术治疗及预后等方面进行了评估。本文给出了声带麻痹患儿的治疗指南，重点强调了可弯曲内镜评估及保守治疗。
