Vocal cord paralysis appears to be an acquired lesion in children with repaired esophageal atresia/tracheoesophageal fistula. (September 2018)

• Record Type: Journal Article
• Authors: Kovesi, Thomas; Porcaro, Federica; Petreschi, Francesca; Trozzi, Marilena; Bottero, Sergio; Cutrera, Renato
• Is Part Of: International journal of pediatric otorhinolaryngology. Volume 112(2018:Sep.)
• Page Start: 45
• Page End: 47
• Publication Date: 2018-09
• Subjects: Tracheoesophageal fistula -- Vocal cord paralysis -- Infant -- Child; Otolaryngology -- Periodicals; Pediatrics -- Periodicals; Otolaryngology -- Periodicals; Pediatrics -- Periodicals; Oto-rhino-laryngologie -- Périodiques; Pédiatrie -- Périodiques; 618.9209751
• DOI: 10.1016/j.ijporl.2018.06.031
• Languages: English
• ISSNs: 0165-5876

Abstract

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.