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Dysphonia secondary to traumatic avulsion of the vocal fold in infants.
- Source :
-
The Journal of laryngology and otology [J Laryngol Otol] 2010 Nov; Vol. 124 (11), pp. 1229-33. Date of Electronic Publication: 2010 May 24. - Publication Year :
- 2010
-
Abstract
- Objective: Airway compromise due to paediatric intubation injuries is well documented; however, intubation injuries may also cause severe voice disorders. We report our experience and review the world literature on the voice effects of traumatic paediatric intubation.<br />Case Series: We report five cases of children referred to Great Ormond Street Hospital for Children who suffered traumatic avulsion of the vocal fold at the time of, or secondary to, endotracheal intubation. All children had significant dysphonia and underwent specialist voice therapy.<br />Conclusions: The mechanisms of injury, risk factors and management of the condition are discussed. Children suffering traumatic intubation require follow up throughout childhood and beyond puberty as their vocal needs and abilities change. At the time of writing, none of the reported patients had yet undergone reconstructive or medialisation surgery. However, regular specialist voice therapy evaluation is recommended for such patients, with consideration of phonosurgical techniques including injection laryngoplasty or thyroplasty.
- Subjects :
- Adolescent
Child, Preschool
Female
Humans
Infant
Infant, Newborn
Infant, Premature
Laryngeal Mucosa injuries
Laryngeal Mucosa pathology
Laryngoscopy methods
Male
Respiration, Artificial adverse effects
Speech, Alaryngeal
Tracheomalacia complications
Tracheostomy adverse effects
Treatment Outcome
Voice Disorders therapy
Infant, Premature, Diseases therapy
Intubation, Intratracheal adverse effects
Speech Therapy
Vocal Cords injuries
Voice Disorders etiology
Subjects
Details
- Language :
- English
- ISSN :
- 1748-5460
- Volume :
- 124
- Issue :
- 11
- Database :
- MEDLINE
- Journal :
- The Journal of laryngology and otology
- Publication Type :
- Academic Journal
- Accession number :
- 20492741
- Full Text :
- https://doi.org/10.1017/S0022215110001131