Stridor

Intracranial pathology causing postextubation vocal cord paralysis

F. C. Chaten, Steven Lucking, E. S. Young, J. J. Mickell

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

During an 18-month period in a pediatric intensive care unit, nine patients with vocal cord paralysis were identified using flexible bronchoscopy. When tracheally extubated, each child was found to have stridor. The children ranged in age from 17 days to 5 1/2 years. Two patients had unilateral paralysis, but neither required tracheostomy. Seven patients displayed bilateral abductor vocal cord paralysis. Of these, six patients required tracheostomy. Surgical injury to the recurrent laryngeal nerve was the probable cause in two patients. The other seven patients had neurologic disorders with documented or suspected increases of intracranial pressure. Four of the seven patients with bilateral abductor vocal cord paralysis regained cord mobility within 4 months. Both children with unilateral cord paralysis have no stridor and vocalize well 1 year later. Cord paralysis in the setting of intracranial hypertension probably results from compression or ischemia of the vagus nerve before it exits the skull. Early visualization of the larynx should be done in patients who become stridulous when extubated, especially those with prior thoracic procedures or with neurologic disorders associated with intracranial hypertension.

Original languageEnglish (US)
Pages (from-to)39-43
Number of pages5
JournalPediatrics
Volume87
Issue number1
StatePublished - Jan 1 1991

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Vocal Cord Paralysis
Respiratory Sounds
Pathology
Intracranial Hypertension
Paralysis
Tracheostomy
Nervous System Diseases
Recurrent Laryngeal Nerve
Pediatric Intensive Care Units
Vagus Nerve
Intraoperative Complications
Bronchoscopy
Larynx
Skull
Thorax
Ischemia

All Science Journal Classification (ASJC) codes

  • Pediatrics, Perinatology, and Child Health

Cite this

Chaten, F. C., Lucking, S., Young, E. S., & Mickell, J. J. (1991). Stridor: Intracranial pathology causing postextubation vocal cord paralysis. Pediatrics, 87(1), 39-43.
Chaten, F. C. ; Lucking, Steven ; Young, E. S. ; Mickell, J. J. / Stridor : Intracranial pathology causing postextubation vocal cord paralysis. In: Pediatrics. 1991 ; Vol. 87, No. 1. pp. 39-43.
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Chaten, FC, Lucking, S, Young, ES & Mickell, JJ 1991, 'Stridor: Intracranial pathology causing postextubation vocal cord paralysis', Pediatrics, vol. 87, no. 1, pp. 39-43.

Stridor : Intracranial pathology causing postextubation vocal cord paralysis. / Chaten, F. C.; Lucking, Steven; Young, E. S.; Mickell, J. J.

In: Pediatrics, Vol. 87, No. 1, 01.01.1991, p. 39-43.

Research output: Contribution to journalArticle

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