Laryngeal ultrasound detects a high incidence of vocal cord paresis after aortic arch repair in neonates and young children

MGY Lee; J Millar; E Rose; A Jones; D Wood; TL Luitingh; D Zannino; J Brink; IE Konstantinov; CP Brizard; Y d'Udekem

Journal article

Laryngeal ultrasound detects a high incidence of vocal cord paresis after aortic arch repair in neonates and young children

MGY Lee, J Millar, E Rose, A Jones, D Wood, TL Luitingh, D Zannino, J Brink, IE Konstantinov, CP Brizard, Y d'Udekem

Journal of Thoracic and Cardiovascular Surgery | MOSBY-ELSEVIER | Published : 2018

DOI: 10.1016/j.jtcvs.2017.12.133

Abstract

Objectives: To determine the incidence of vocal cord paresis (VCP) after neonatal aortic arch repair/Norwood-type procedure, and the effectiveness of noninvasive laryngeal ultrasound in detecting VCP compared with gold standard invasive nasoendoscopy. Methods: Fifty-two patients who underwent an arch repair (39 of 52; 75%) or Norwood-type procedure (13 of 52; 25%) via sternotomy between April 1, 2015, and April 30, 2017 underwent laryngeal ultrasound (50 of 52; 96%) and/or flexible fiber optic nasoendoscopy (39 of 52; 75%) at 48 to 72 hours after endotracheal extubation. Primary arch diagnoses were coarctation in 56% (29 of 52), hypoplastic left heart syndrome in 17% (9 of 52), isolated hypo..

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University of Melbourne Researchers

Elizabeth Rose Author

Diana Zannino Author

Igor Konstantinov Author

Christian Brizard Author

Grants

Awarded by National Health and Medical Research Council

Funding Acknowledgements

This research project was supported by the Victorian Government's Operational Infrastructure Support Program. Dr Lee was supported by a National Health and Medical Research Council (NHMRC) Medical Research Postgraduate Scholarship (1134274) and an Australian Government Research Training Program Scholarship. Dr d'Udekem is a NHMRC Clinician Practitioner Fellow (1082186).