Robertson J R, Birck H G
Laryngoscope. 1976 Jul;86(7):965-70. doi: 10.1288/00005537-197607000-00009.
This paper focuses on vocal cord paralysis in children after operation for tracheoesophageal fistula and/or esophageal atresia. We reviewed the charts of 65 children who were operated upon for congenital esophageal atresia and/or tracheoesophageal fistula during a period from 1964 to 1974. Ten of these children manifested laryngeal symptoms. Five had laryngeal paralysis. Two were untreated. One was treated with cordectomy and stent. Two were treated successfully with the Thornell arytenoidectomy, one of these being done without a tracheotomy in place. Mention is made of a third case of bilateral vocal cord paralysis due to hydrocephalus treated successfully by the Thornell procedure. Follow-up laryngoscopy was done on 21 children without laryngeal symptoms whiich revealed two previously unsuspected vocal cord paralyses and one vocal cord paresis which cleared.
本文聚焦于小儿食管闭锁及/或食管气管瘘手术后的声带麻痹。我们回顾了1964年至1974年间因先天性食管闭锁及/或食管气管瘘接受手术的65例患儿的病历。其中10例患儿出现喉部症状。5例发生喉麻痹。2例未接受治疗。1例行声带切除术及置入支架治疗。2例行索尔内尔杓状软骨切除术治疗成功，其中1例未行气管切开术。文中提及第3例因脑积水导致的双侧声带麻痹经索尔内尔手术成功治疗。对21例无喉部症状的患儿进行了随访喉镜检查，发现2例此前未被怀疑的声带麻痹及1例声带轻瘫已恢复。
