TY - JOUR
T1 - Surgical Options for Pediatric Bilateral Vocal Cord Palsy
T2 - State of the Art
AU - Trozzi, Marilena
AU - Meucci, Duino
AU - Salvati, Antonio
AU - Tropiano, Maria Luisa
AU - Bottero, Sergio
N1 - Publisher Copyright:
© Copyright © 2020 Trozzi, Meucci, Salvati, Tropiano and Bottero.
PY - 2020/12/9
Y1 - 2020/12/9
N2 - 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.
AB - 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.
KW - airway surgery
KW - bilateral vocal cord palsy
KW - pediatric
KW - surgical options
KW - voice quality
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U2 - 10.3389/fped.2020.538562
DO - 10.3389/fped.2020.538562
M3 - Review article
AN - SCOPUS:85098204612
VL - 8
JO - Frontiers in Pediatrics
JF - Frontiers in Pediatrics
SN - 2296-2360
M1 - 538562
ER -