ArticleJTCVS open2022
Vocal cord dysfunction after pediatric cardiac surgery: A prospective implementation study.
Article in JTCVS open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.
- Breastfeeding infants with CHD: an evidence summary and recommendations from the Cardiac Newborn Neuroprotective Network, a special interest group of the Cardiac Neurodevelopmental Outcome Collaborative.Cardiology in the young · 2025Guideline
- Enteral Feeding Methods in Patients with Vocal Fold Motion Impairment Following Cardiothoracic Surgery.Pediatric cardiology · 2026Article
- Rare Variant of a Rare Anomaly: Stenotic Persistent Right-Sided Fifth Aortic Arch with Fourth Arch Interruption.CASE (Philadelphia, Pa.) · 2026Article
- Outcomes of Neonates and Infants with Vocal Fold Mobility Impairment After Cardiac Surgery.Pediatric cardiology · 2026Article
- Injection Laryngoplasty as a Means of Resolving Symptomatic Vocal Cord Immobility After Congenital Heart Surgery.Interdisciplinary cardiovascular and thoracic surgery · 2026Article
- Preoperative Oral Feeding in Infants with Congenital Heart Disease Within the First Month of Life is Associated with a Higher Likelihood of Freedom From Tube Feeding at Time of Postoperative Discharge.Pediatric cardiology · 2026Observational
- Ultrasound assessment of larynx and trachea in the neonatal period-reference values.European radiology · 2026Observational
- Paediatric Laryngeal Ultrasound: A Retrospective Cohort Study in Aotearoa New Zealand and an International Survey.Clinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery · 2025Article
- Clinical Prognosis of Vocal Cord Paralysis After Cardiothoracic Surgery in Infants.Pediatric cardiology · 2024Article
- Effects of Body Positioning on Laryngeal Penetration and Aspiration in Children with Unilateral Vocal Cord Paralysis.Turkish archives of otorhinolaryngology · 2023Article
- Enteral access and reflux management in neonates with severe univentricular congenital heart disease: literature review and proposed algorithm.European journal of pediatrics · 2023Review
- Multidisciplinary approach to vascular rings and vascular-related aerodigestive compression: a clinical practice review.Translational pediatrics · 2023Review
Corrections and comments
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Authors and funding
15 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Objective: To determine the incidence, outcomes, and evaluate diagnostic modalities for postoperative vocal cord dysfunction (VCD) following cardiothoracic surgery in children. Methods: A prospective mixed-methods study using principles of implementation science was completed. All patients undergoing surgery involving the aortic arch, ductus, or ligamentum arteriosum and vascular rings from September 2019 to December 2020 were enrolled. Patients underwent speech pathology assessment, laryngeal ultrasound, and flexible direct laryngoscopy. Results: Ninety-five patients were eligible for inclusion. The incidence of VCD ranged from 18% to 56% and varied according to procedure group. VCD occurred in 42% of neonates. Repair of hypoplastic aortic arch was associated with increased risk of VCD (57%; Conclusions: VCD occurred in one-third and resolved in two-thirds of patients at a median of 3 months following cardiac surgery. Aortic arch repair carried the highest risk of VCD. VCD adversely influenced feeding. Forty percent of patients achieved full oral feeding before discharge. VCD did not delay intensive care unit or hospital discharge. Speech pathology assessment and laryngeal ultrasound combined was reliable for diagnosis in most patients and was more patient friendly than flexible direct laryngoscopy.
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