Maturo Stephen C, Hartnick Christopher J
Department of Otolaryngology, San Antonio Military Medical Center, Fort Sam Houston, TX, USA.
Adv Otorhinolaryngol. 2012;73:86-9. doi: 10.1159/000334446. Epub 2012 Mar 29.
Vocal fold immobility (VFI) is a challenging management issue in pediatric otolaryngology. VFI is most commonly distinguished between unilateral (UVFI) and bilateral (BVFI) dysfunction. UVFI and BVFI are different pathophysiologic and clinical entities with distinct symptoms and etiologies. It has been generally accepted in the adult literature to wait at least 1 year prior to carrying out more permanent type procedures for VFI. This period has been extended out even further in children as the literature has suggested that vocal fold function may return many years later. Unfortunately, there is no simple test or procedure to help predict return of vocal fold function. In adult patients LEMG has been used to help guide management decisions, but it has not been widely investigated in children. In this chapter the authors describe a LEMG technique that has been a useful adjunct in managing children with VFI.
声带麻痹（VFI）是小儿耳鼻咽喉科中一个具有挑战性的管理问题。VFI最常见的是分为单侧（UVFI）和双侧（BVFI）功能障碍。UVFI和BVFI是不同的病理生理和临床实体，具有不同的症状和病因。在成人文献中，一般认为在对VFI进行更永久性的手术之前至少要等待1年。由于文献表明声带功能可能在多年后恢复，因此在儿童中这个等待期甚至更长。不幸的是，没有简单的测试或程序来帮助预测声带功能的恢复。在成年患者中，肌电图（LEMG）已被用于帮助指导管理决策，但在儿童中尚未得到广泛研究。在本章中，作者描述了一种肌电图技术，该技术在管理患有VFI的儿童方面是一种有用的辅助手段。
