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首页> 外文期刊>Otolaryngology--head and neck surgery: official journal of American Academy of Otolaryngology-Head and Neck Surgery >Natural history of tracheostomy-dependent idiopathic congenital bilateral vocal fold paralysis.
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Natural history of tracheostomy-dependent idiopathic congenital bilateral vocal fold paralysis.

机译：气管切开术依赖的特发性先天性双侧声带麻痹的自然史。

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摘要

OBJECTIVE: To identify the age at which spontaneous improvement in vocal fold function occurs that will allow decannulation to be performed in tracheostomy-dependent children with isolated idiopathic congenital bilateral vocal fold paralysis (BVFP). STUDY DESIGN AND SETTING: Retrospective chart review in tertiary pediatric center. RESULTS: Three children were identified who underwent tracheostomy between 13 and 45 days old. Two patients have been decannulated at age 5 years 11 months and 7 years 1 month, but both have persistent symptoms of upper airway obstruction. One patient remains tracheostomy-dependent at 4 years of age with only minimal vocal cord abduction. CONCLUSIONS: Spontaneous improvement in vocal fold function sufficient to allow decannulation appears to occur during the second quinquennium of life. SIGNIFICANCE: Conservative treatment could be considered as an alternative to surgery in severe idiopathic congenital BVFP.
机译：目的：确定发生自发性先天性双侧声带麻痹（BVFP）的气管造口术依赖性儿童的声带功能自发改善的年龄。研究设计与设置：回顾性图表回顾在三级儿科中心。结果：确定了三个孩子，他们在13至45天之间接受了气管切开术。两名患者在5岁，11个月和7岁1个月时均未进行排尿，但均具有持续的上呼吸道阻塞症状。一名患者在4岁时仍依赖气管切开术，仅有很少的声带外展。结论：在生命的第二个五年期期间，发声折叠功能的自发性改善足以允许出现无褥疮现象。意义：保守治疗可以被认为是重度特发性先天性BVFP手术的替代方法。

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