A Rare Presentation of Neonatal Stridor

Amos, Louella B.; Quintero, Diana; Veith, Regan; Trapane, Pamela; Beste, David J.; Gershan, William M.

doi:10.1177/0009922811398393

Cited by 2 publications

(2 citation statements)

References 10 publications

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“…Sixty-seven valid studies were identified. 3,4,10,14-77 A full list of these studies and their characteristics are recorded in Supplemental Tables S1 and S2 (available online). An overview of our methodology is described in Figure 1 .…”

Section: Resultsmentioning

confidence: 99%

“…A total of 5989 articles were identified based on initial review, with 1891 articles from PubMed, 3455 from Web of Science, 305 from the Cochrane Library, and 338 from Embase. Sixty‐seven valid studies were identified 3,4,10,14–77 . A full list of these studies and their characteristics are recorded in Supplemental Tables S1 and S2 (available online).…”

Section: Resultsmentioning

confidence: 99%

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Surgical Management of Bilateral Vocal Fold Paralysis in Children: A Systematic Review and Meta‐analysis

Thorpe

Kanotra

2020

Otolaryngol.--head neck surg.

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Objectives To examine and compare the outcomes of various types of glottic widening surgery (GWS) for initial management of bilateral vocal fold paralysis (BVFP) in children, the outcomes of different GWS procedures in children who underwent initial tracheostomy, and the rate of decannulation in children who underwent tracheostomy alone versus tracheostomy followed by GWS. Data Sources PubMed, Web of Science, Cochrane Library, and Embase were searched following the PRISMA guidelines (Preferred Reporting Items for Systematic Reviews and Meta-analyses) on September 9, 2019, with no date restriction. Review Methods Articles focusing on GWS or tracheostomy for initial management of BVFP were included. Articles describing patients who received no surgical intervention for BVFP were excluded. Results A total of 5989 articles were reviewed: 67 articles met inclusion criteria, and 240 patients were incorporated into the analysis. Patients who underwent primary GWS had an eventual tracheostomy rate of 6.0% (5/83). There were no statistically significant differences in the rate of tracheostomy, reoperation, or mortality among cricoid split, suture lateralization, and cordectomy/cordotomy. Patients who underwent primary tracheostomy failed to achieve decannulation in 36.9% (58/157) of cases. Decannulation was more likely in tracheostomized children who received GWS than those who did not (odds ratio, 6.336; P < .0001). Conclusions Most children who undergo primary GWS for BVFP avoid tracheostomy or reoperation. These data demonstrated no differences in surgical outcomes among the most common types of GWS for BVFP. For children who receive a tracheostomy as their first intervention for BVFP, GWS is associated with a significantly improved rate of decannulation.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Surgical Management of Bilateral Vocal Fold Paralysis in Children: A Systematic Review and Meta‐analysis

Thorpe

Kanotra

2020

Otolaryngol.--head neck surg.

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Neonatal Stridor in Familial Congenital Laryngeal Paralysis (Plott Syndrome): A Case Study in an Omani Family

et al. 2017

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Stridor presenting soon after birth due to bilateral abductor vocal cord paralysis (VCP) is rare. We report a family with bilateral VCP affecting four male members in two generations and hence suggesting X-linked recessive inheritance. Severe stridor in the neonatal period requires meticulous airway evaluation, and tracheostomy in 35-70% cases. The current trend is towards conservative management and tracheostomy is avoided unless respiratory distress is severe or life-threatening. Neonatal VCP can be an isolated finding, or it can be familial with or without syndromic features. There are very few reports of non-syndromic familial cases. Unlike the cases reported previously, none of our patients required prolonged intubation or tracheostomy suggesting an excellent prognosis in such cases. This is the first case study of congenital familial non-syndromic VCP reported from the Middle East.

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A Rare Presentation of Neonatal Stridor

Cited by 2 publications

References 10 publications

Surgical Management of Bilateral Vocal Fold Paralysis in Children: A Systematic Review and Meta‐analysis

Surgical Management of Bilateral Vocal Fold Paralysis in Children: A Systematic Review and Meta‐analysis

Neonatal Stridor in Familial Congenital Laryngeal Paralysis (Plott Syndrome): A Case Study in an Omani Family

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