Recurrent stridor in an infant

Ngu, Chien Ying Vincent and Saniasiaya, Jeyasakthy and Kulasegarah, Jeyanthi (2021) Recurrent stridor in an infant. BMJ Case Reports, 14 (9). ISSN 1757-790X, DOI

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Paediatric upper airway obstruction is an emergency that requires immediate intervention. Among the myriad factors that leads to upper airway obstruction in paediatric age group, bilateral vocal cord palsy is not commonly encountered in clinical practice. The underlying cause of bilateral vocal cord palsy requires thorough investigation prior to deciding on the appropriate intervention. Herein, we report a 4-month-old baby boy who presented with recurrent inspiratory stridor with bilateral vocal cord palsy secondary to Arnold Chiari II malformation. Immediate intervention to drain the hydrocephalous resulted in complete resolution of stridor without having to perform a tracheostomy. We highlight the importance of meticulous and thorough investigations especially in children, as emergent airway intervention such as tracheostomy may result in detrimental effect to speech, swallowing as well as quality of life.

Item Type: Article
Uncontrolled Keywords: Paediatrics;Congenital disorders;Ear nose and throat;Otolaryngology
Subjects: R Medicine
R Medicine > RF Otorhinolaryngology
R Medicine > RF Otorhinolaryngology > Otology. Diseases of the ear
Divisions: Faculty of Medicine
Depositing User: Ms Zaharah Ramly
Date Deposited: 07 Sep 2022 02:41
Last Modified: 07 Sep 2022 02:41

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