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British Journal of Anaesthesia, 1971, Vol. 43, No. 7 696-700
© 1971 The Board of Management and Trustees of the British Journal of Anaesthesia

case-report

POSTOPERATIVE VOCAL CORD PARALYSIS IN PAEDIATRIC PATIENTS

Reports of Cases and a Review of possible Aetiological Factors

M. R. SALEM, A. Y. WONG, V. C. BARANGAN, R. F. CANALIS*, M. H. SHAKER and A. M. LOTTER+

Cook County Hospital, Department of Anesthesiology 1825 W. Harrison Street Chicago, Illinois 60612
*University of Chicago, Pritzker School of Medicine, Department of Otolaryngology 950 East 59th Street, Chicago, Illinois 60637
+Northwestern University School of Medicine, Department of Otolaryngology 303 East Chicago Avenue, Chicago, Illinois 60611

Two cases are reported of recurrent laryngeal nerve paralysis that followed thoracic manipulations in paediatric patients. Possible aetiological factors in relation to anaesthesia and operation in paediatric and adult patients are reviewed. These include: forceful endotracheal intubation; direct surgical trauma; compression of the nerve in the neck by a tracheal cuff, or a large endotracheal tube, in the thorax by changes in the size of the great vessels; stretching of the nerve as a result of traction on distant organs; toxic effects of substances present in endotracheal tubes or formed as a result of sterilization; and the presence of a concomitant upper respiratory tract infection


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R. P. Mahajan and J. M. Hunter
Volume 100: Case reports: should they be confined to the dustbin?
Br. J. Anaesth., June 1, 2008; 100(6): 744 - 746.
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