Pediatric vocal fold paralysis after cardiac surgery: Rate of recovery and sequelae

Mai Thy Truong, Anna H. Messner, Joseph E. Kerschner, Melissa Scholes, Jaime Wong-Dominguez, Henry Milczuk, Patricia J. Yoon

Research output: Contribution to journalArticle

67 Citations (Scopus)

Abstract

Objective: To determine the rate of recovery of pediatric vocal fold paralysis (VFP) after cardiac surgery. Study Design and Setting: Retrospective case series from January 2000 to 2005 at 4 tertiary care pediatric hospitals. Results: A total of 109 children with VFP were identified. Of 80 patients with follow-up >3 months, 28 (35%) recovered vocal fold function with a median time to diagnosis of recovery of 6.6 months. Fifty-two (65%) patients had persistent vocal fold paralysis with a median follow-up time of 16.4 months. Twenty-five (45%) of 55 patients demonstrated aspiration or laryngeal penetration with modified barium swallow. Twenty-nine (27%) of the 109 patients underwent surgical intervention for their airway, feeding, or voice. Conclusions: Pediatric VFP is not an uncommon complication after cardiac surgery and can result in serious sequelae. This study demonstrates a 35% rate of recovery, 45% rate of aspiration, and 27% rate of complications that require surgical intervention.

Original languageEnglish (US)
Pages (from-to)780-784
Number of pages5
JournalOtolaryngology - Head and Neck Surgery
Volume137
Issue number5
DOIs
StatePublished - Nov 2007

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Vocal Cords
Paralysis
Thoracic Surgery
Pediatrics
Pediatric Hospitals
Tertiary Healthcare
Barium
Deglutition

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Truong, M. T., Messner, A. H., Kerschner, J. E., Scholes, M., Wong-Dominguez, J., Milczuk, H., & Yoon, P. J. (2007). Pediatric vocal fold paralysis after cardiac surgery: Rate of recovery and sequelae. Otolaryngology - Head and Neck Surgery, 137(5), 780-784. https://doi.org/10.1016/j.otohns.2007.07.028

Pediatric vocal fold paralysis after cardiac surgery : Rate of recovery and sequelae. / Truong, Mai Thy; Messner, Anna H.; Kerschner, Joseph E.; Scholes, Melissa; Wong-Dominguez, Jaime; Milczuk, Henry; Yoon, Patricia J.

In: Otolaryngology - Head and Neck Surgery, Vol. 137, No. 5, 11.2007, p. 780-784.

Research output: Contribution to journalArticle

Truong, MT, Messner, AH, Kerschner, JE, Scholes, M, Wong-Dominguez, J, Milczuk, H & Yoon, PJ 2007, 'Pediatric vocal fold paralysis after cardiac surgery: Rate of recovery and sequelae', Otolaryngology - Head and Neck Surgery, vol. 137, no. 5, pp. 780-784. https://doi.org/10.1016/j.otohns.2007.07.028
Truong, Mai Thy ; Messner, Anna H. ; Kerschner, Joseph E. ; Scholes, Melissa ; Wong-Dominguez, Jaime ; Milczuk, Henry ; Yoon, Patricia J. / Pediatric vocal fold paralysis after cardiac surgery : Rate of recovery and sequelae. In: Otolaryngology - Head and Neck Surgery. 2007 ; Vol. 137, No. 5. pp. 780-784.
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