de Gaudemar I, Roudaire M, François M, Narcy P
Department of Otolaryngology and Head and Neck Surgery Service ORL. Robert Debré Hospital, Paris, France.
Int J Pediatr Otorhinolaryngol. 1996 Jan;34(1-2):101-10. doi: 10.1016/0165-5876(95)01262-1.
Between 1985 and 1990, 113 children were diagnosed as having congenital vocal cord paralysis. Most of them were still being followed up in June 1994. Fifty two had bilateral paralysis, 61 had unilateral paralysis: 41 were on the left side and 20 on the right side. Forty two were idiopathic, 29 were associated with neurologic disorders, six were associated with heart malformations. Fifteen children were born after difficult delivery. Among the newborns with unilateral paralysis that occurred after an abnormal delivery, 73% recovered spontaneously; likewise 70% of the neurologic group and 74% of the idiopathic group recovered spontaneously. The prognosis of bilateral paralysis was worse with only 52% of spontaneous recovery in the neurologic disorders group and the idiopathic group. Seven percent of the children underwent a surgical procedure. They were all decanulated or extubated. In view of our experience the prognosis is poor for bilateral idiopathic laryngeal paralysis or those with neurological context.
1985年至1990年间，113名儿童被诊断患有先天性声带麻痹。1994年6月时，他们中的大多数仍在接受随访。52例为双侧麻痹，61例为单侧麻痹：41例在左侧，20例在右侧。42例病因不明，29例与神经系统疾病有关，6例与心脏畸形有关。15名儿童为难产出生。在分娩异常后发生单侧麻痹的新生儿中，73%自发恢复；同样，神经系统疾病组70%和特发性组74%的患儿自发恢复。双侧麻痹的预后较差，神经系统疾病组和特发性组仅52%的患儿自发恢复。7%的儿童接受了外科手术。他们均拔除了气管套管或气管插管。根据我们的经验，双侧特发性喉麻痹或伴有神经系统病变者预后不良。
