Laser arytenoidectomy in the management of bilateral vocal cord paralysis in children

Total and Partial Laser Arytenoidectomy for Bilateral Vocal Fold Paralysis

“…Success rate reported in the pediatric patients is 66–77% and markedly lower compared to adults [23, 24]. This fact is most probably due to the higher incidence of posterior glottic stenosis, subglottic stenosis, and other comorbid pathologies of the airway in the pediatric age group.…”

Spontaneous recovery of bilateral congenital idiopathic laryngeal paralysis: Systematic non-meta-analytical review

“…Sixteen articles had flaws that disqualified them from inclusion (sampling, diagnostic definition, incomplete follow up, and non-objective assessment of final outcome) [2,4,[6][7][8]14,[67][68][69][70][71][72][73][74][75][76]. Twenty-one articles were assessing glottic expansion procedures on highly selected groups [9,[77][78][79][80][81][82][83][84][85][86][87][88][89][90][91][92][93][94][95][96]. Three articles were studying a certain diagnostic modality [97][98][99].…”

“…Adult population, not relevant 57 Hagan [53] Adult population 58 Ishman et al [52] Irrelevant, Studying the difference in the management of pediatric and adult population 59 Ahmad et al [64] Adult population 60 Clerf [54] Adult population, discussing surgical treatment 61 Dworkin and Treadway [55] Adult population 62 Fox [56] Adult population 63 Gorman and Woodward [57] Mixed adult and pediatric population without separate analysis 64 Hirose [66] Mixed adult and pediatric population without separate analysis 65 Kearsley [58] Adult population 66 King [59] Adult population, case reports 67 Pinto et al [60] Adult population 68 Renfrew [61] Adult population 69 Rinne [62] Adult population 70 Rosenthal et al [65] Adult population 71 Sellars [63] Adult population, studying the efficacy of surgical procedure 72 Chmielik et al [100] No enough information about the patients, no information about recovery 73 Cohen et al [101] No information about recovery 74 Daya et al [3] No information about recovery 75 Fearon and Ellis [102] No information about recovery 76 Holinger et al [103] No information about recovery 77 Holinger et al …”

Update on pediatric voice and airway disorders

“…Common surgical procedures include unilateral laser arytenoidectomy, cordotomy, or vocal fold lateralization. These procedures can all be conducted via an endoscopic approach and can create a patent airway without the need for tracheotomy [30][31][32]. Outcomes reported are based on retrospective or case reviews and concentrate on airway patency versus voice outcomes.…”