Vocal cord paralysis after cardiovascular surgery in children: incidence, risk factors and diagnostic options

García-Torres, Enrique; Antón‐Pacheco, Juan L.; Luna-Paredes, Ma Carmen; Morante-Valverde, Rocío; Ezquerra-Pozo, Elena; Ferrer-Martínez, Alicia; Villafruela, Miguel; Jiménez‐Huerta, Ignacio; Lopez-Diaz, Maria J.; Carrillo-Arroyo, Isabel; Boni, Lorenzo

doi:10.1093/ejcts/ezz190

Cited by 9 publications

(33 citation statements)

References 22 publications

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“…(2018). One study (Garcia‐Torres et al ., 2020) did not report probe information. Probe frequencies varied across all the studies.…”

Section: Resultsmentioning

confidence: 99%

“…Shaath et al (2012) used both linear and curve linear probes, and a hockey stick probe was used by Lee et al (2018). One study (Garcia-Torres et al, 2020) did not report probe information. Probe frequencies It was unclear who carried out the US assessment in either of the swallowing studies.…”

Section: Us Index Testmentioning

confidence: 99%

“…Ten of the 12 included studies used US to assess laryngeal function and/or structure (Friedman et al, 2018(Friedman et al, , 2019Garcia-Torres et al, 2020;Huang et al, 2019;Lee et al, 2018;Ongkasuwan et al, 2017aOngkasuwan et al, , 2017bSayyid et al, 2019;Shaath et al, 2012;Zhang et al, 2020). Nine studies assessed laryngeal function, of which seven assessed vocal fold movement through visualisation (Friedman et al, 2019;Garcia-Torres et al, 2020;Lee et al, 2018;Ongkasuwan et al, 2017a;Sayyid et al, 2019;Shaath et al, 2012;Zhang et al, 2020). Of the seven studies looking at vocal fold movement, two studies additionally identified arytenoid tissue prolapse and aryepiglottic fold movement by viewing movement of the arytenoids and aryepiglottic folds for ab/adduction and inward collapse on inspiration during breathing (Friedman et al, 2018(Friedman et al, , 2019.…”

Section: Laryngeal Structure and Functionmentioning

confidence: 99%

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Enhanced rapid review of the applicability of ultrasound in the assessment of sucking, swallowing and laryngeal function in the paediatric population

Viviers

Edwards²,

Asir

et al. 2022

Intl J Lang & Comm Disor

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Background:The coronavirus disease 2019 (COVID-19) pandemic has renewed interest in the use of ultrasound (US) amongst dysphagia-trained clinicians working with infants and children. US is a portable, minimally intrusive tool which carries reduced risk of aerosol-generation provoked by other instrumental swallowing assessment tools such as fibreoptic endoscopic evaluation of swallowing (FEES). For this reason, US could be a valuable addition to the dysphagia assessment toolkit. A recently published rapid review of US evidence for the assessment of swallowing and laryngeal function in the adult population provided a framework for this neonatal and paediatric review. Aims: This enhanced rapid review aimed to establish the applicability of US as an instrumental assessment tool for sucking, swallowing and laryngeal function in the neonatal and paediatric populations. Methods & Procedures:A rapid review of six electronic databases was conducted to identify articles using US to assess sucking, swallowing or laryngeal function in the selected populations, compared with varied reference tests. Abstract screening was completed according to pre-defined inclusion/exclusion criteria with 10% of articles assessed by a second screener. Data was extracted from the included studies using a pre-developed form. A modified QUADAS-2 tool was used to assess study quality. Results from the included studies were summarised and grouped into sucking, swallowing and laryngeal function data. Outcomes & Results: Twelve studies using US in the assessment of swallowing and/or laryngeal function met inclusion criteria. No studies using US for assessment of sucking met the inclusion criteria. All were peer-reviewed, primary studies across a range of clinical populations and with a wide geographical spread. Five studies had an overall low risk of bias. Seven studies had at least one domain where risk of bias was judged as high. All studies had high applicability. The two studies assessing swallowing differed in terms of aims and use of US.

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“…(2018). One study (Garcia‐Torres et al ., 2020) did not report probe information. Probe frequencies varied across all the studies.…”

Section: Resultsmentioning

confidence: 99%

Section: Us Index Testmentioning

confidence: 99%

Section: Laryngeal Structure and Functionmentioning

confidence: 99%

See 1 more Smart Citation

Enhanced rapid review of the applicability of ultrasound in the assessment of sucking, swallowing and laryngeal function in the paediatric population

Viviers

Edwards²,

Asir

et al. 2022

Intl J Lang & Comm Disor

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“…ise %12,1 olarak rapor ettiler. [13] Bizim çalışmamız da ise tüm hastalar açısından değerlendirildiğinde kardiyak cerrahi sonrasında tespit edilen VKP oranı %23 olarak bulundu. Hastalarımızın patent duktus cerrahisi sonrasında VKP açısından değerlendirilmesinde ise %12 postoperatif VKP tespit edildi.…”

Section: Discussionunclassified

Investigation of Upper Respiratory Tract Pathologies in Neonatal Intensive Care Unit

Konak

Erdur

Kilinç

et al. 2019

Journal of Contemporary Medicine

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Yenidoğan yoğun bakım ünitesinde izlenen üst solunum yolu patolojilerinin incelenmesi Investigation of upper respiratory tract pathologies in neonatal intensive care unit Amaç: Yenidoğan yoğun bakım ünitelerinde solunum yolu hastalıklarına çok sık rastlanır ancak bunların çoğunluğu alt solunum yolu patolojileri olan respiratuvar distres sendromu, yenidoğanın geçici takipnesi ve mekonyum aspirasyon sendromu gibi patolojilerdir. Neonataloji biliminde izlenen gelişmeler sonrasında daha fazla bebeğin yaşatılması ve daha uzun süre solunum desteği alması bu bebeklerde olası üst solunum yolu patolojilerine yol açmaktadır. Ayrıca akraba evliliklerinin hala çok sık olduğu ülkemizde konjenital anomali sık görülmesi nedeniyle de bir çok üst solunum yoluna ait konjenital patoloji görülmektedir. Biz bu çalışmada konjenital ve akkiz nedenlerle takip edilen üst solunum yolu patolojilerini sunmak ve bazen gözden kaçan bu tehlikeli hastalıkların farkındalığını arttırmayı amaçladık. Gereç ve Yöntem: Çalışma da 2016-2019 yılları arasında Selçuk Üniversitesi Tıp fakültesi Yenidoğan Yoğun Bakım Ünitesinde yatan hastaların dosyaları retrospektif olarak tarandı. Bulgular: Bu dönemde yaklaşık 1800 bebek takip edilmişti. Bu bebeklerden 340'ına üst solunum yolu patolojisi ön tanısıyla Kulak Burun Boğaz hastalıkları konsültasyonu istendi. Yapılan değerlendirme sonucunda 6 olguda koanal atrezi, 20 olguda vokal kord paralizisi, 2 olguda subglottik stenoz, 14 olguda laringomalazi tespit edildi. Sonuç: YYBÜ'lerinde yaşanan gelişmeler ışığında daha fazla prematüre bebek yaşamakta ve ağır hasta konjenital anomalili özellikle konjenital kalp hastalığı olan bebeklere sık cerrahi işlem uygulanmaktadır. Bu durumların sonucunda hastaların izleminde ya da post operatif dönemde üst solunum yolu patolojisi olabileceği öngörülerek KBB konsültasyonu istenmesi ve gerekli durumlarda patolojinin tedavisi ya da trakeostomi açısından değerlendirilmesi hastaların uzun dönem prognozuna katkı sağlayacağı düşünülmüştür.

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“…Airway ultrasound appears to have an excellent correlation with flexible laryngoscopy in diagnosing vocal cord palsy, laryngomalacia, and other glottic lesions . When dichotomic evaluation is used (normal vs immobility), vocal cord paralysis can be correctly recognized by parents .…”

Section: Introductionmentioning

confidence: 99%

Airway ultrasound: Point of care in children—The time is now

Daniel

Bertolizio

McHugh

2020

Pediatric Anesthesia

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Background Point‐of‐care ultrasonography of the airway is becoming a first‐line noninvasive adjunct assessment tool of the pediatric airway. It is defined as a focused and goal‐directed portable ultrasonography brought to the patient and performed and interpreted on the spot by the provider. Successful use requires a thorough understanding of airway anatomy and ultrasound experience. Aims To outline the many benefits, and some limitations, of airway ultrasonography in the clinical and perioperative setting. Materials and Methods Expert review of the recent literature. Results Ultrasound assessment of the airway may provide the clinician with valuable information that is specific to the individual airway static and dynamic anatomy of the patient. Ultrasound can help identify vocal cord dysfunction and pathology, assess airway size, predict the appropriate diameter of endotracheal and tracheostomy tubes, differentiate tracheal from esophageal intubation, localize the cricothyroid membrane for emergency airway access and identify tracheal rings for US‐guided tracheostomy. Ultrasonography is also a great tool for the intraoperative diagnosis of a pneumothorax, the visualization of the movement of the diaphragms, and quantifying the amount of gastric content. Ultrasonography signs, tips, and pearls that allow these diagnoses are highlighted. The major disadvantage of ultrasonography remains interobserver variability, and operator dependence, as it requires specific training and experience. Conclusion Although it is not standard of care yet, there is significant potential for the integration of ultrasound technology into the routine care of the airway.

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Vocal cord paralysis after cardiovascular surgery in children: incidence, risk factors and diagnostic options

Cited by 9 publications

References 22 publications

Enhanced rapid review of the applicability of ultrasound in the assessment of sucking, swallowing and laryngeal function in the paediatric population

Enhanced rapid review of the applicability of ultrasound in the assessment of sucking, swallowing and laryngeal function in the paediatric population

Investigation of Upper Respiratory Tract Pathologies in Neonatal Intensive Care Unit

Airway ultrasound: Point of care in children—The time is now

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