Ejnell法による声門開大術が奏功した小児の先天性両側喉頭麻痺症例

Abstract

Bilateral vocal fold paralysis is a relatively rare laryngeal disease in infants. This condition causes dyspnea, therefore, long-term airway management including tracheal intubation and tracheostomy is necessary. Several surgical techniques have been proposed to restore laryngeal obstruction, however, a generally accepted therapeutic strategy for children has not been established. In this article, a girl who had bilateral congenital vocal fold paralysis was successfully treated by Ejnell's operation. She underwent intubation for severe respiratory distress immediately after the birth. Bilateral vocal fold fixation at midline position was diagnosed by endoscopic observation of the larynx. A tracheostomy was performed when she was 6 months old. Thereafter, laterofixation of the right vocal fold described by Ejnell was carried out at the age of 7-years resulting in a successful closure of tracheostoma. This operation is simple, safe and less traumatic, and it should be considered as a choice for surgical intervention for children with bilateral vocal fold fixation.