All issues > Volume 41(4); 1998

Case Report

J Korean Pediatr Soc. 1998;41(4):558-561. Published online April 15, 1998.

A Case of Bilateral Vocal Cord Paralysis in Neonate

Young Kyoun YK Kim¹, Seung Cheol SC Lee¹, Se Wook SW Oh¹, Sang Woo SW Kim¹, Jae Hyung JH Park²

¹Department of Pediatrics, Seoul Paik Hospital Seoul, Korea
²Department of Otolaryngology, Inje University, Seoul Paik Hospital Seoul, Korea

Correspondence Young Kyoun YK Kim ,Email: 1

Abstract

Neonatal vocal cord paralysis is the second most common laryngeal anomaly, which accounts for approximately 10% of all congenital laryngeal lesions. Neonate with bilateral vocal cord paralysis are charactenzed with a glottic obstruction which usually shows dyspnea and inspiratory stridor. Treatment of bilateral vocal cord paralysis in neonate have two major goals : restore proper breathing and retain the voice. Tracheostomy is the best method for restoring breating in neonate. The prognosis of bilateral paralysis looks worse. Spontaneous recovery was seen in only half of the cases which usually occur in the idiopathic group and neurologic group. We experienced a case of bilateral vocal cord paralysis in a neonate who showed dyspnea, cyanosis and inspiratory stridor soon after birth. Diagnosis was confirmed by direct laryngoscopy and he was treated with tracheostomy.

Keywords :Vocal cord paralysis, Neonate, Tracheostomy