Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2007
Natural history of tracheostomy-dependent idiopathic congenital bilateral vocal fold paralysis.
СтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
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Ошибки и ограничения
История · было → стало
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Berkowitz Robert G
Аннотация
OBJECTIVE: To identify the age at which spontaneous improvement in vocal fold function occurs that will allow decannulation to be performed in tracheostomy-dependent children with isolated idiopathic congenital bilateral vocal fold paralysis (BVFP).
STUDY DESIGN AND SETTING: Retrospective chart review in tertiary pediatric center.
RESULTS: Three children were identified who underwent tracheostomy between 13 and 45 days old. Two patients have been decannulated at age 5 years 11 months and 7 years 1 month, but both have persistent symptoms of upper airway obstruction. One patient remains tracheostomy-dependent at 4 years of age with only minimal vocal cord abduction.
CONCLUSIONS: Spontaneous improvement in vocal fold function sufficient to allow decannulation appears to occur during the second quinquennium of life.
SIGNIFICANCE: Conservative treatment could be considered as an alternative to surgery in severe idiopathic congenital BVFP.
STUDY DESIGN AND SETTING: Retrospective chart review in tertiary pediatric center.
RESULTS: Three children were identified who underwent tracheostomy between 13 and 45 days old. Two patients have been decannulated at age 5 years 11 months and 7 years 1 month, but both have persistent symptoms of upper airway obstruction. One patient remains tracheostomy-dependent at 4 years of age with only minimal vocal cord abduction.
CONCLUSIONS: Spontaneous improvement in vocal fold function sufficient to allow decannulation appears to occur during the second quinquennium of life.
SIGNIFICANCE: Conservative treatment could be considered as an alternative to surgery in severe idiopathic congenital BVFP.