Surgical Options for Pediatric Bilateral Vocal Cord Palsy: State of the Art

Marilena Trozzi, Duino Meucci, Antonio Salvati, Maria Luisa Tropiano, Sergio Bottero

Research output: Contribution to journalReview articlepeer-review


Management of pediatric bilateral vocal cord palsy (BVCP) is a controversial and challenging topic. It may represent a severe obstructive condition usually associated with respiratory distress, and, in such condition, tracheostomy has been considered the gold standard for a long time. Many surgical options have been described and used to increase the glottic space in BVCP (1), with ongoing research of less invasive techniques. The challenge and current trend in our department and in many major pediatric centers is to avoid tracheotomy through an early treatment. Many techniques introduced in the last decade reduced the number of tracheotomies and increased the decannulation rate. Furthermore, we observed a recent increase in attention to preserve the quality of the voice with new techniques, such as endoscopic arytenoid abduction lateropexy which is in our opinion an important innovation to improve glottic space with satisfactory voice results. We present a review of the literature about the evolution of the treatment options for pediatric BVCP during the years.

Original languageEnglish
Article number538562
JournalFrontiers in Pediatrics
Publication statusPublished - Dec 9 2020


  • airway surgery
  • bilateral vocal cord palsy
  • pediatric
  • surgical options
  • voice quality

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health


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