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Dysphonia secondary to traumatic avulsion of the vocal fold in infants

Cavalli, L; Bray, D; Eze, N; Hartley, BEJ; (2010) Dysphonia secondary to traumatic avulsion of the vocal fold in infants. Journal of Laryngology and Otology , 124 (11) 1229 - 1233. 10.1017/S0022215110001131. Green open access

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Abstract

Objective: Airway compromise due to paediatric intubation injuries is well documented; however, intubation injuries may also cause severe voice disorders. We report our experience and review the world literature on the voice effects of traumatic paediatric intubation. Case series: We report five cases of children referred to Great Ormond Street Hospital for Children who suffered traumatic avulsion of the vocal fold at the time of, or secondary to, endotracheal intubation. All children had significant dysphonia and underwent specialist voice therapy. Conclusions: The mechanisms of injury, risk factors and management of the condition are discussed. Children suffering traumatic intubation require follow up throughout childhood and beyond puberty as their vocal needs and abilities change. At the time of writing, none of the reported patients had yet undergone reconstructive or medialisation surgery. However, regular specialist voice therapy evaluation is recommended for such patients, with consideration of phonosurgical techniques including injection laryngoplasty or thyroplasty.

Type: Article
Title: Dysphonia secondary to traumatic avulsion of the vocal fold in infants
Open access status: An open access version is available from UCL Discovery
DOI: 10.1017/S0022215110001131
Publisher version: http://dx.doi.org/10.1017/S0022215110001131
Language: English
Additional information: Copyright Cambridge University Press 2010
Keywords: Larynx, Child, Trauma, Voice, Vocal Cords
UCL classification: UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences > Language and Cognition
URI: https://discovery.ucl.ac.uk/id/eprint/1315647
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