Tucker H M
Ann Otol Rhinol Laryngol. 1986 Nov-Dec;95(6 Pt 1):618-21. doi: 10.1177/000348948609500615.
Vocal cord paralysis in children is an uncommon but often disabling problem. It may be congenital or acquired either in the immediate period surrounding birth or as a postpartum event. Because even unilateral vocal cord paralysis can result in severe respiratory distress in the newborn and in small children, recognition of this problem can be critical. A logical approach to diagnosis and management requires not only that the physician be alert to the problem but also that several procedures be established that can be used together or singly to address the problem, as is most appropriate to the individual case. The usefulness of intubation, tracheotomy, surgical lateralization of the vocal folds, and reinnervation in the management of these problems is discussed, and 30 cases of vocal cord paralysis in children under the age of 5 years are presented.
儿童声带麻痹是一种罕见但常导致功能障碍的问题。它可能是先天性的，也可能是在出生前后即刻或产后获得性的。由于即使是单侧声带麻痹也可能导致新生儿和幼儿出现严重的呼吸窘迫，因此认识到这个问题至关重要。一种合理的诊断和管理方法不仅要求医生对该问题保持警觉，还需要建立几种可以一起或单独使用的程序，以根据个体情况最恰当地解决问题。本文讨论了插管、气管切开术、声带手术侧移和神经再支配在这些问题管理中的作用，并介绍了30例5岁以下儿童声带麻痹的病例。
