Pediatric Vocal Fold Paresis and Paralysis

Ridgway, Chelsea; Bouhabel, Sarah; Martignetti, Lisa; Kishimoto, Yo; Li‐Jessen, Nicole Y. K.

doi:10.1001/jamaoto.2021.1050

Cited by 4 publications

(2 citation statements)

References 81 publications

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“…The gold standard for ILO diagnosis is visualizing abnormal VF adduction during laryngoscopy 10 . Paradoxical electrical activity on laryngeal electromyography can detect ILO but is not recommended in children due to the need for anesthesia 11,12 …”

Section: Introductionmentioning

confidence: 99%

“…10 Paradoxical electrical activity on laryngeal electromyography can detect ILO but is not recommended in children due to the need for anesthesia. 11,12 Treatment includes VF abduction exercises, training with a speech-language pathologist (SLP), or behavioral therapy. 10 Inhaled anticholinergic (ipratropium bromide) is used to treat EILO, based on the premise that vagus nerve stimulation and a dysautonomic response to respiratory irritants may trigger symptoms.…”

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confidence: 99%

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The impact of identifying laryngeal obstruction syndromes on reducing treatment of pediatric asthma: A systematic review

Zhang

Hicks

Ospina

et al. 2022

Pediatric Pulmonology

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Inducible laryngeal obstruction (ILO) in children is underrecognized. This systematic review characterizes the scientific evidence on the impact of pediatric ILO diagnosis and treatment on asthma medication use. This review, registered with PROSPERO (CRD42020209168), utilized database searches in MEDLINE, EMBASE, CINAHL, and Web of Science from inception to October 2020. Both experimental and observational studies on ILO and asthma outcomes in patients ≤18 years were included. Population characteristics (sample size, sex, age, and comorbidities) and study outcomes (medication usage and respiratory symptoms) were extracted. The risk of bias was assessed with the National Toxicology Program's Office of Health Assessment and Risk of Bias Rating Tool. Data are presented narratively due to study heterogeneity. Of 1091 studies, 1076 titles and abstracts were screened after duplicate removal. Screening 31 full texts yielded eight pre–post studies. Patients were an average of 14.1 years old, 15% male, and >90% used asthma medication; 40% reported allergies, 30% gastroesophageal reflux, and 20% anxiety or depression. Most patients received at least one intervention, with 75% showing symptomatic improvement and >75% decreasing or stopping asthma medications. Studies were small with a high risk of selection, confounding, and detection bias. Asthma management was not a primary outcome in any of the studies. Overall, ILO patients were often diagnosed with or treated for asthma before ILO diagnosis. Evidence from individual studies suggests that comorbidities including ILO, gastroesophageal reflux, allergies, and anxiety should be considered in pediatric patients with asthma not responsive to medical therapy. Further research is required to determine the proportion of impacted asthma patients.

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Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

The impact of identifying laryngeal obstruction syndromes on reducing treatment of pediatric asthma: A systematic review

Zhang

Hicks

Ospina

et al. 2022

Pediatric Pulmonology

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Anatomic Disorders of the Chest and Airways

LEE,

JACKSON,

LAKSHIMINRUSIMHA

et al. 2024

Avery's Diseases of the Newborn

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Management of Pediatric Laryngotracheal Stenosis

Lee¹

2022

J Korean Soc Laryngol Phoniatr Logop

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Pediatric laryngotracheal stenosis occurs by either congenital or acquired causes and usually indicates subglottic stenosis. The main goals of treatment are decannulation, preserving phonation, and normal swallowing function. Various types and degrees of stenosis and combined anomalies would be the main barriers to reaching successful treatment results unless comprehensive understanding of stenosis. Multidisciplinary team approaches encompassing initial assessment, treatment, and postoperative care, are also necessary to achieve the best treatment outcome. Therapeutic approaches are divided into conservative, endoscopic, and open surgical approaches at length, which are not exclusive to each other. Here, an adequate selection of each therapeutic option and postoperative management will be introduced to achieve decannulation without leaving phonatory or swallowing complications.

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Pediatric Vocal Fold Paresis and Paralysis

Cited by 4 publications

References 81 publications

The impact of identifying laryngeal obstruction syndromes on reducing treatment of pediatric asthma: A systematic review

The impact of identifying laryngeal obstruction syndromes on reducing treatment of pediatric asthma: A systematic review

Anatomic Disorders of the Chest and Airways

Management of Pediatric Laryngotracheal Stenosis

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