2017-18 HSC Section 3 Green Book

Reprinted by permission of Int J Pediatr Otorhinolaryngol. 2015; 79(7):959-964.

International

Journal

of Pediatric Otorhinolaryngology 79

(2015)

959–964

Contents

lists

available

at ScienceDirect

International

Journal

of Pediatric Otorhinolaryngology

jour nal

homepage:

www.elsevier .com/locat e/ijpo r l

Review

Article

Vocal

fold

avulsion

in

the

pediatric

population:

Presentation

and management

Strychowsky a , * ,

Adil a , b , Greg

Licameli a , b ,

Rahbar a , b

Julie

E.

Eelam

Reza

a Department b Department

of Otolaryngology

and

Communication

Enhancement,

Boston

Children’s Hospital,

333

Longwood

Ave,

3rd

Floor,

Boston, MA

02115, USA

of Otology

and

Laryngology, Harvard Medical

School,

Boston, MA, USA

A

R

T

I

C

L

E

I

N

F

O

A

B

S

T

R

A

C

T

Article

history:

Laryngeal

injury among pediatric patients

is uncommon;

traumatic vocal

fold

(VF) avulsion

is

Objective: even more patient with

Received Received Accepted Available

23

February

2015

rare.

The

objective

of

this

paper

is

to

present

the

endoscopic management

of

a

pediatric

in

revised

form

27 April

2015

VF

avulsion

and

review

the

relevant

literature.

29

April

2015

A

relevant

case

of

a pediatric patient with

a VF

avulsion

secondary

to blunt

laryngeal

trauma

Methods:

online

8 May

2015

underwent

successful

endoscopic

repair

is

presented.

A

comprehensive

search

in

PubMed was

who

for

cases

of

pediatric

VF

avulsion

in

the

English-language

literature.

conducted

Keywords: Pediatric Laryngeal

Sixteen cases of pediatric VF avulsion were

reviewed

(8 cases of external

trauma and 8

cases of

Results: internal

vocal

fold

avulsion

trauma).

All

cases Three

of

external

laryngeal

trauma

presented

in male

patients

and

ranged

in

age

trauma

5

to

15

years.

patients

had

bilateral VF

avulsions

and

four

had

unilateral

avulsions.

Three

from

successfully managed endoscopically. Four patients underwent

tracheotomy; all patients

patients were

successfully decannulated in

the postoperative period. Voice quality

returned

to normal

for most

were

patients. Clinical pearls and controversies in

the evaluation and management of pediatric VF avulsion are

presented. Conclusions:

Accurate

and

timely

diagnosis

of

pediatric

VF

avulsion

is

important.

CT

imaging without

should

be

considered

in

stable

patients.

The

endoscopic availability

approach

is

the

preferred method

of

sedation

it

is

amenable

to

the

extent

of

injury

and

of

expertise

from

both

surgeon

and

repair when

anesthesiologist.

2015

Elsevier

Ireland

Ltd.

All

rights

reserved.

Contents

1. Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 960 2. Material and methods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 960 3. Results . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 960 3.1. Patient presentation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 960 3.2. Literature review . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 962 4. Discussion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 963 5. Conclusion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 964 References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 964

* Corresponding

author

at:

Clinical

Fellow

Pediatric Otolaryngology, Department

of Otolaryngology

and

Communication

Enhancement,

Boston

Children’s Hospital,

333

Longwood Ave,

3rd

Floor,

Boston, MA

02115, USA.

Tel.:

+1

617

355

5798;

fax:

+1

617

730

0337.

julie.strychowsky@childrens.harvard.edu

(J.E.

Strychowsky),

eelam.adil@childrens.harvard.edu (E.

Adil),

greg.licameli@childrens.harvard.edu

addresses:

E-mail

Licameli),

reza.rahbar@childrens.harvard.edu (R.

Rahbar).

(G.

http://dx.doi.org/10.1016/j.ijporl.2015.04.046 0165-5876/ 2015 Elsevier Ireland Ltd. All

rights

reserved.

35