Incidence of Recurrent Laryngeal Nerve Palsy in Thoracic Surgery in Neonates
Expert / Speaker
Lizzy Lee PA-C
General Surgery
Timestops
0:00
Vocal Cord Paralysis Prevalence
Study found nearly 40% of babies develop vocal cord paralysis after thoracic surgery
0:17
Complication Risks
Younger and smaller babies are most at risk, being the most fragile
0:46
Symptoms and Impact
Vocal cord paralysis didn't affect hospital stay or feeding ability, but is a common complication
Topic overview
Khaled Al Tabaa ∙ Matthias Claire ∙ Arnaud Bonnard ∙ Souhayl Dahmani ∙ Thierry Van Den Abbeel ∙ Natacha Teissier∙ Emilie Bois
Objective
Postoperative vocal cord paralysis (VCP) is a known complication of thoracic surgeries that carry a risk of recurrent laryngeal nerve (RLN) injury. The primary aims of this study were to evaluate the prevalence of postoperative VCP, identify associated risk factors, and assess the impact on feeding and length of hospital stay in pediatric thoracic surgery.
Materials and Methods
We conducted a prospective, interventional, single-center study from September 2020 to January 2022. Preoperative laryngeal fibroscopy was performed, and children with pre-existing laryngeal immobility were excluded. Postoperative laryngeal fibroscopy was systematically performed 15 days after surgery to assess the incidence of VCP. Data were compared between children with and without VCP to identify risk factors and evaluate the impact on feeding and hospital length of stay.
Results
During the study period, 17 children (mean age 3.2 days; mean weight 2628 g) who underwent thoracic surgery at risk of RLN injury were included: 15 for esophageal atresia, 1 for ductus arteriosus ligation, and 1 for aortic arch surgery. Of these, 4 children were excluded because they could not undergo laryngoscopy at day 15. Postoperative fibroscopy was performed in the remaining 13 children, revealing VCP in 5 (38.5%). VCP was always symptomatic, with stridor requiring specific management in 2 patients. Weight and gestational age emerged as significant factors influencing the risk of postoperative VCP, while associated malformations did not impact VCP risk. No major effects on feeding or length of hospital stay were observed.
Conclusion
VCP is a common complication of thoracic surgery in children, highlighting the importance of its prevention due to potential severe consequences. Further research is needed to refine strategies for preventing VCP and improving outcomes in this patient population.
Intended audience: Healthcare professionals and clinicians.
Categories
Specialty
Care Context
Population
Topic Format
Clinical Task
Keywords
Keywords will be added soon through AI processing
Hashtags
Hashtags will be added soon through AI processing
Transcript
Speaker: Lizzy Lee PA-C
Click "Show Transcript" to view the full transcription (848 characters)
Comments