ENT

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@mnsor1029 @stccare_ksa توصلت لحل لان صارت معاي نفس المشكله

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Treatment of pediatric BVFP:

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Treatment of pediatric BVFP:

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Pediatric Bilateral Vocal Fold Paralysis (BVFP):

o 2nd most common congenital laryngeal anomaly.
o Accounts for more than 50% of all pediatric VFPs.
o Less common in newborns than unilateral VFP.

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Pediatric unilateral Vocal Fold Paralysis (VFP):

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Pediatric Vocal Fold Paralysis (VFP)

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Management of bilateral VCP:

* Temporizing (Reversible) Treatment of BVFP
* Long-Term Surgical Treatment of BVFP:

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Initial Management of the Airway in bilateral VCP:

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Management of Bilateral VFP:

- Goal is to lateralize vocal fold for airway improvement without compromising voice and causing aspiration as possible.
- Surgical interventions for BVFP cannot simultaneously result in
improvement in airway without dysphonia(except Tracheostomy).

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Clinical picture of bilateral VCP

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DDx of bilateral VCP:

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Causes of Bilateral Vocal Fold Paralysis (BVFP):

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Bilateral vocal cord paralysis

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Summary of Unilateral VCP

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Type I Thyroplasty (Medialization Laryngoplasty)

Arytenoid Adduction

Reinnervation Procedures

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Key differences between Injection Thyroplasty and Laryngeal Framework Surgery:

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Injection Thyroplasty

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Methods of Medialization Producers:

1. Injection Thyroplasty
2. Type I Thyroplasty
3. Arytenoid Adduction
4. Re-innervation Procedures

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Early surgical intervention without waiting for conservative management is indicated for:

1. Clinical Aspiration
2. Vocal professional
3. Tran-section nerve injury
4. LEMG findings of poor prognosis

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Management of Unilateral VFP:

1. Conservative with Speech Therapy
2. Surgical Intervention(Medialization Producers)