Vocal Cord Paralysis Secondary to Impacted Esophageal Foreign Bodies in Young Children

Author:

Virgilis Dov1,Weinberger Jeffrey M.2,Fisher Drora3,Goldberg Shmuel1,Picard Elie1,Kerem Eitan1

Affiliation:

1. From the Departments of Pediatric Respiratory Medicine,

2. Otolaryngology-Head and Neck Surgery, and

3. Pediatric Radiology, Shaare Zedek Medical Center, Hebrew University Medical School, Jerusalem, Israel.

Abstract

Impacted foreign bodies in the esophagus can result in respiratory symptoms including stridor and aphonia. Several mechanisms have been proposed to explain these symptoms, but the possibility of vocal cord paralysis and its cause has not been adequately emphasized. Two cases of young children with esophageal foreign body are described; both presented with respiratory symptoms, 1 with aphonia and the other with stridor. In both cases, the symptoms were secondary to vocal cord paralysis. A possible mechanism of recurrent nerve injury is proposed.

Publisher

American Academy of Pediatrics (AAP)

Subject

Pediatrics, Perinatology, and Child Health

Reference12 articles.

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3. Esophageal foreign bodies in children: diagnosis, treatment, and complications.;Macpherson;AJR Am J Roentgenol,1996

4. Cyanosis from a foreign body in the esophagus.;Pasquariello;Clin Pediatr,1975

5. The radiolucent esophageal foreign body: an often forgotten cause of respiratory symptoms.;Newman;J Pediatr,1978

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