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Laryngeal problems following infant esophageal surgery
Author(s) -
Robertson James R.,
Birck Herbert G.
Publication year - 1976
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1288/00005537-197607000-00009
Subject(s) - medicine , surgery , atresia , laryngeal paralysis , tracheotomy , cordectomy , cord , tracheoesophageal fistula , laryngoscopy , paralysis , vocal cord paralysis , laryngectomy , paresis , swallowing , larynx , intubation
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 which revealed two previously unsuspected vocal cord paralyses and one vocal cord paresis which cleared.