Abstract

The term vocal fold paralysis (VFP) has a spectrum of entities within the literature, including vocal fold motion impairment, vocal fold immobility, adductor or abductor paralysis, and vocal fold paresis. VFP is known to be a major cause of dysphagia, dysphonia, and respiratory problems. The degree to which these are manifested often depends on whether the patient has unilateral VFP or bilateral VFP, as well as etiology of the VFP, patient age, and other patient characteristics. While the majority of pediatric studies that have focused on the management of VFP have emphasized respiratory and voice outcomes, dysphagia and impaired swallowing function are important consequences of VFP. This chapter focuses on the relationship between VFP and dysphagia in the pediatric patient, focusing specifically on the challenges the otolaryngologist faces in the workup and management of this entity.

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