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小儿声带麻痹是一少见的疾患。可概括地分为先天性及后天性两类。1963～1983年间多伦多儿童医院诊治71例声带麻痹患儿,出现症状的年龄为从出生至17岁。80%在五岁以前。56%为单侧性,44%为双侧性。19例(27%)为先天性,52例为后天性(73%)。先天性声带麻痹:19例先天性声带麻痹患儿中有5例系产伤所致,出生时均有喘鸣表现,其中3例未作任何治疗于2～18个月后恢复正常,有2例严重缺氧者遗有脑干损伤及双侧声带麻痹均未能恢复。有10例(53%)病因不明,列为先天性特发性声带麻痹,其中5例伴有其他的发育畸形,包括小颌畸形、舌半侧萎缩、牙齿发育不全、Mobius综合征、先天性多发性关节弯曲、尿道下裂、大脑瘫痪及智力迟钝伴发育延缓,但均
Vocal cord paralysis in children is a rare condition. Can be broadly divided into two types of congenital and acquired nature. Between 1963 and 1983, 71 children with vocal cord paralysis were diagnosed and treated in Toronto Children’s Hospital. The age of onset of symptoms was from birth to 17 years. 80% before the age of five. 56% unilateral, 44% bilateral. Nineteen (27%) were congenital and 52 were acquired (73%). Congenital vocal cord paralysis: In 19 cases of congenital vocal cord paralysis in children, 5 cases were caused by birth trauma, have wheezing at birth, of which 3 cases without any treatment returned to normal after 2 to 18 months, 2 Cases of severe hypoxia were left with brain stem injury and bilateral vocal cord paralysis failed to recover. In 10 patients (53%), the etiology of congenital idiopathic vocal cord paralysis was unknown, with 5 other developmental deformities including small jaw deformity, atrophy of the tongue, dental hypoplasia, Mobius syndrome, congenital Multiple joint flexion, hypospadias, cerebral palsy and mental retardation associated with delayed development, but both