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Int J Pediatr Otorhinolaryngol. 2018 Sep;112:45-47. doi: 10.1016/j.ijporl.2018.06.031. Epub 2018 Jun 19.

Vocal cord paralysis appears to be an acquired lesion in children with repaired esophageal atresia/tracheoesophageal fistula.

Author information

1
Division of Respirology, Children's Hospital of Eastern Ontario, 401 Smyth Rd., Ottawa, ON K1H 8L1, Canada. Electronic address: kovesi@cheo.on.ca.
2
Respiratory Unit, Academic Department of Pediatrics, Bambino Gesù Children's Hospital, Piazza di Sant'Onofrio, 4, 00165 Roma, RM, Italy. Electronic address: federica.porcaro@opbg.net.
3
Respiratory Unit, Academic Department of Pediatrics, Bambino Gesù Children's Hospital, Piazza di Sant'Onofrio, 4, 00165 Roma, RM, Italy. Electronic address: francesca.petreschi@opbg.ne.
4
Airway Surgery Unit, Department of Pediatric Surgery, Bambino Gesù Children's Hospital, Piazza di Sant'Onofrio, 4, 00165 Roma, RM, Italy. Electronic address: marilena.trozzi@opbg.net.
5
Airway Surgery Unit, Department of Pediatric Surgery, Bambino Gesù Children's Hospital, Piazza di Sant'Onofrio, 4, 00165 Roma, RM, Italy. Electronic address: sergio.bottero@opbg.net.
6
Respiratory Unit, Academic Department of Pediatrics, Bambino Gesù Children's Hospital, Piazza di Sant'Onofrio, 4, 00165 Roma, RM, Italy. Electronic address: renato.cutrera@opbg.net.

Abstract

OBJECTIVES:

Determine whether vocal cord paresis or paralysis (VCP/P) following surgical repair of congenital esophageal atresia/tracheoesophageal fistula (EA/TEF) is generally a primary anomaly, or is secondary to EA/TEF repair.

METHODS:

We carried out a retrospective study based on a recently published protocol, which included the systematic performance of a laryngo-tracheo-bronchoscopy before and after EA/TEF repair.

RESULTS:

There were 105 patients with EA/TEF referred for multidisciplinary follow-up, between 2010 and 2015. Sixty-four of the 105 patients included in the study underwent EA/TEF repair at the referral center and had pre-operative bronchoscopy; the others had their initial surgery elsewhere. No included patient had VCP/P detected pre-operatively. Six patients (4 initially managed at the referral center) were diagnosed with VCP/P during the follow-up period (6/105, 5.7%).

CONCLUSION:

VCP appears to be an acquired lesion in this population.

KEYWORDS:

Child; Infant; Tracheoesophageal fistula; Vocal cord paralysis

PMID:
30055738
DOI:
10.1016/j.ijporl.2018.06.031
[Indexed for MEDLINE]

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