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PEDIATRICS Vol. 107 No. 6 June 2001, p. e101

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

Received Oct 9, 2000; accepted Jan 26, 2001.

Dov Virgilis*, Jeffrey M. WeinbergerDagger , Drora Fisher§, Shmuel Goldberg*, Elie Picard*, and Eitan Kerem*

From the Departments of * Pediatric Respiratory Medicine, Dagger  Otolaryngology-Head and Neck Surgery, and § Pediatric Radiology, Shaare Zedek Medical Center, Hebrew University Medical School, Jerusalem, Israel.

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.

 Key words:  esophageal foreign body, vocal cord paralysis, recurrent nerve injury, respiratory symptoms.




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