NERVE INJURY AND VOCAL CORD PARALYSIS AFTER ESOPHAGEAL ATRESIA AND TRACHEOESOPHAGEAL FISTULA REPAIR: SYSTEMATIC REVIEW AND META-ANALYSIS

jpedsurg.org

Vocal cord paralysis (VCP) and recurrent laryngeal nerve injury may be either congenital or acquired due to surgical trauma in patients with esophageal atresia and tracheoesophageal fistula (EA-TEF). A systematic review and meta-analysis were performed to define the risk factors for developing VCP and other nerve injuries.

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Article · Nov 2025 · 1 min read

In brief

This systematic review examines vocal cord paralysis and recurrent laryngeal nerve injuries in EA-TEF patients, distinguishing between congenital and surgery-related causes. The meta-analysis identifies key risk factors for developing these neurological complications following surgical repair.

Vocal cord paralysis in EA-TEF patients can be congenital or iatrogenic from surgical trauma during repair.
Recurrent laryngeal nerve injury is a recognized complication of EA-TEF repair requiring systematic assessment.
Meta-analysis identifies specific risk factors for postoperative VCP to guide surgical technique and monitoring.
Systematic evaluation of nerve injury patterns informs preoperative counseling and postoperative surveillance protocols.

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