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- Title
Surgery for pediatric vocal cord paralysis: A meta-analysis
- Authors
Brigger, Matthew T.; Hartnick, Christopher J.
- Abstract
Objective: The study goal was to determine the impact of various surgical procedures for bilateral vocal cord paralysis in children by using established principles of meta-analysis. Study Design and Setting: We conducted a retrospective review of the literature in which a predetermined protocol was used to identify articles for meta-analysis. Six articles met inclusion criteria, and pertinent data were extracted. Results: Pooled data analysis demonstrated primary procedure-specific decannulation rates for external arytenoidopexy for 19 of 24 (79%), external arytenoidectomy for 14 of 19 (74%), CO2 laser arytenoidectomy for 4 of 10 (40%), and costal cartilage graft procedures for 2 of 2 (100%). External arytenoid procedures are more efficacious than CO2 laser procedures in terms of primary decannulation (P = 0.02). Conclusion: Meta-analysis of the existing literature reveals that external arytenoidopexy and external arytenoidectomy are equivalently effective procedures and that the two combined are significantly more effective than CO2 ablative procedures. Significance: External procedures appear to be more effective as a first-line treatment in pediatric vocal cord paralysis, with arytenoidopexy with or without partial arytenoidectomy offering an attractive first-line surgical option. (Otolaryngol Head Neck Surg 2002;126:349-55.)
- Subjects
VOCAL cords; PARALYSIS; CHILDREN; META-analysis
- Publication
Otolaryngology-Head & Neck Surgery, 2002, Vol 126, Issue 4, p349
- ISSN
0194-5998
- Publication type
Article
- DOI
10.1067/mhn.2002.124185